Can heart transplantation be postponed or avoided by pulmonary artery banding in an infant with dilated cardiomyopathy? First experience from Turkey

doi:10.5606/tgkdc.dergisi.2016.12119

Pelin Ayyıldız¹, Erkut Öztürk¹, Okan Yıldız², İbrahim Cansaran Tanıdır¹, Alper Güzeltaş¹, Sertaç Haydin²

¹Departments of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Departments of Pediatric Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.12119

Herein, a six-month-old infant with dilated cardiomyopathy with an unknown etiology was presented. Cardiac transplantation was indicated for the case with intractable cardiac failure despite medical treatment. Pulmonary artery banding is an old surgical technique which was used to restrict pulmonary artery blood flow in cases of complex ventricular shunts or in patients with a morphologic right ventricle in the systemic circulation who are candidates for an anatomic biventricular repair such as congenitally corrected transposition of great arteries. Due to the rarity of the donor number in Turkey and worldwide with a long waiting list, pulmonary artery banding was performed in our case. The heart failure symptoms regressed dramatically and she was discharged in a short period of time with improved clinical symptoms. The out-patient follow-up results biannually are normal.

Keywords : Dilated cardiomyopathy; infant; pulmonary artery banding

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