Bhan, AnilAgarwal, SaketSaxena, PravinVenugopal, Panangipalli2004-01-082009-05-272004-01-082009-05-272004-01-08Bhan A, Agarwal S, Saxena P, Venugopal P. Minimally invasive pulmonary artery banding: a new approach. Indian Heart Journal. 2004 Jan-Feb; 56(1): 37-9http://imsear.searo.who.int/handle/123456789/5424BACKGROUND: A variety of approaches have been described for banding of the pulmonary artery. The indications for this procedure are limited; however in developing countries, many patients still need pulmonary artery banding for a variety of reasons. We describe a new approach, minimally invasive, using only a split in the manubrium sterni to conduct the procedure. METHODS AND RESULTS: Between January 2000 and May 2002, 19 patients who had undergone pulmonary artery banding using a minimally invasive technique were compared with 20 cases of pulmonary artery banding performed by the conventional technique. The mortality was similar in the two groups (p=0.45). The period of intubation and duration of intensive care unit stay were significantly shorter in the minimally invasive group (p=0.015 and 0.002, respectively). The duration of hospital stay was not significantly different between the 2 groups (p=0.139). In the minimally invasive group, three patients underwent subsequent reoperation. CONCLUSIONS: Minimally invasive pulmonary artery banding is useful in babies with high-flow cardiac lesions and cardiac cachexia.engCase-Control StudiesChild, PreschoolFemaleHeart Defects, Congenital --surgeryHumansInfantLength of Stay --statistics & numerical dataMalePulmonary Artery --surgerySurgical Procedures, Minimally Invasive --methodsJournal Article