Case report
Absorbable pulmonary artery banding in tricuspid atresia

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Abstract

A child with tricuspid atresia, concordant ventriculoarterial connections, large ventricular septal defect, and elevated pulmonary artery pressure underwent pulmonary artery banding with a polydioxanone ribbon. This procedure was successful in this patient as the ventricular septal defect became restrictive while the banding was fully absorbed after 5 months. This technique could be included in the panel of surgical strategies for patients with single ventricle physiology and potential but insufficient subpulmonary stenosis in early infancy.

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Comment

Total cavopulmonary connection is the usual goal of therapy for children with tricuspid atresia [4]. The management in infancy must aim to ensure survival and maintain suitability for a Fontan-type operation [5]. In tricuspid atresia with normally related great arteries, progressive closure of the ventricular septal defect is a common outcome 2, 3, but, if the ventricular septal defect remains too large for a couple of months, medial hypertrophy of the small pulmonary arteries may persist and

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Copyright © 2001 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.