Evaluation of Ain Shams University Hospitals Clinical Pathway for Pulmonary Artery Banding

Abstract

ulmonary artery banding (PAB) remains a useful surgical palliation for small neonates and early infants with excessive pulmonary blood flow who are unable or difficult to withstand an open heart surgery using cardiopulmonary bypass or in developing countries where the facilities not suitable for primary corrective surgery in those infants (Nagashima, 2011). Recently especially in developed countries with increase of cardiac surgeon experience and possibility of Cardiopulmonary bypass (CPB) in very young infant with low birth weight and also better postoperative care, many of children that previously had to tolerated initially PA Banding procedure before corrective surgery, today have a chance for total corrective surgery with good result and success and low mortality (Hoseinikhah et al., 2016). Trusler and Mustard (1972) advocated that the adequate circumference of the PAB using a 4-mm-wide tape in infants without cyanosis was (20 mm + 1 mm for each kg of the infant BW) (Nagashima, 2011). In our current study we aimed to study clinical pathway of cases underwent PAB at ASU hospital pediatric cardiac surgery department with discussion of different causes of mortality and morbidity.