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Interpretation of the echocardiographic pressure gradient across a pulmonary artery band in the setting of a univentricular heart

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Applied Physiology in Intensive Care Medicine
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Abstract

Pulmonary artery (PA) banding has been established as a palliative surgical technique for congenital heart defects for over 50 years [1]. With the advent of earlier corrective surgery, the indications for PA banding have changed over time [2, 3]. Currently these include: (a) limitation of pulmonary blood flow in the setting of an excessive left-toright shunt; (b) regulation of pulmonary blood flow in the univentricular circulation; and (c) a training procedure for the left ventricle prior to conversion to the systemic pumping chamber (late presentation of D-transposition of the great arteries, or prior to a double-switch procedure with L-transposition).

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Tibby, S.M., Durward, A. (2009). Interpretation of the echocardiographic pressure gradient across a pulmonary artery band in the setting of a univentricular heart. In: Hedenstierna, G., Mancebo, J., Brochard, L., Pinsky, M. (eds) Applied Physiology in Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01769-8_47

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  • DOI: https://doi.org/10.1007/978-3-642-01769-8_47

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