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10.5606/tgkdc.dergisi.2016.12119
Can heart transplantation be postponed or avoided by pulmonary artery banding in an infant with dilated cardiomyopathy? First experience from Turkey
Pelin Ayyıldız 1, Erkut Öztürk 1, Okan Yıldız2, İbrahim Cansaran Tanıdır 1, Alper Güzeltaş 1, 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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