Pulmonary Artery Banding for Cardiomyopathy in Young Children: Beyond the Current Experience
Presented During:
Sunday, April 28, 2024: 11:29AM - 11:36AM
Metro Toronto Convention Center
Posted Room Name:
Room 716
Abstract No:
147
Submission Type:
Abstract Submission
Authors:
Zheng Dou (1), Kai Ma (2), Qiyu He (1), Yuze Liu (1), Shoujun Li (3)
Institutions:
(1) N/A, N/A, (2) Fuwai Hospital, Beijing, Beijing, (3) Fuwai Hospital, CAMS&PUMC, Beijing, Beijing
Submitting Author:
Zheng Dou
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Co-Author(s):
Kai Ma
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Fuwai Hospital
Fuwai Hospital
Qiyu He
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Yuze Liu
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Shoujun Li
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Fuwai Hospital, CAMS&PUMC
Fuwai Hospital, CAMS&PUMC
Presenting Author:
Zheng Dou
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Abstract:
Objective: This abstract highlights a series of successful single-center cases of PAB procedure, aiming to provide insights and guidance regarding the surgical indications for PAB in PHF.
Methods: We performed PAB for a total of 7 PHF patients. The preoperative conditions of the 7 patients varied, with common features of severe LV dilation (left ventricular end diastolic diameter Z-score greater than 5.0) and preserved RV function.
Results: During follow-up duration, none of the 7 patients encountered all-cause death, heart transplantation, or the need for ventricular assist devices. Three patients successfully regained normal LV function, one came remarkably close to normal, and three patients exhibited substantial improvement.
Conclusions: In cases of DCM combined with CHD and DCM with LBBB, PAB may be a pivotal component of PHF treatment, although they were once considered contraindications. In children with isolated DCM, PAB has also demonstrated notably positive treatment outcomes. The surgical indications for PAB remain a subject of debate and necessitate more cases support.
Methods: We performed PAB for a total of 7 PHF patients. The preoperative conditions of the 7 patients varied, with common features of severe LV dilation (left ventricular end diastolic diameter Z-score greater than 5.0) and preserved RV function.
Results: During follow-up duration, none of the 7 patients encountered all-cause death, heart transplantation, or the need for ventricular assist devices. Three patients successfully regained normal LV function, one came remarkably close to normal, and three patients exhibited substantial improvement.
Conclusions: In cases of DCM combined with CHD and DCM with LBBB, PAB may be a pivotal component of PHF treatment, although they were once considered contraindications. In children with isolated DCM, PAB has also demonstrated notably positive treatment outcomes. The surgical indications for PAB remain a subject of debate and necessitate more cases support.
CONGENTIAL:
Innovations: New devices or novel approaches, preclinical or clinical
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