Pulmonary artery banding

Dr Vincent Tatco et al.

Pulmonary artery banding is a palliative surgical procedure used to decrease excessive pulmonary blood flow. It is usually used for neonates and infants with left-to-right shunts unable to withstand complete surgical correction.  

Some indications include:

The current technique of pulmonary artery banding usually involves encircling the main pulmonary artery with a ring of prosthetic material, which restricts pulmonary blood flow, increases systemic perfusion and protects the pulmonary vasculature from changes of pulmonary hypertension

Complications of pulmonary artery banding include:

  • dilatation of the proximal pulmonary artery
  • pulmonary valve insufficiency
  • pulmonary valve injury
  • band migration which may compromise blood flow

The procedure was introduced by William H. Muller, Jr. and J. Francis Dammann, Jr. in 1951 and was initially used in an infant with ventricular septal defect.


Congenital heart disease

There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorised, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.

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Article Information

rID: 52063
Systems: Cardiac, Vascular
Synonyms or Alternate Spellings:
  • PA banding

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