Скачать или смотреть Pulmonary Artery Banding Surgery | Indications, Steps & Hemodynamic Monitoring

Pulmonary Artery Banding (PAB) is a critical palliative procedure in congenital heart disease, particularly in children with large left-to-right shunts and transposition of the great arteries (TGA). This video explains the median sternotomy approach step-by-step, including band placement, hemodynamic monitoring, and LV retraining principles.

Pulmonary Artery Banding: Thoracotomy or Sternotomy?
First described in 1952 by Muller & Dammann but in 2026, the debate still exists.

Median sternotomy is gaining popularity because:
✔ Better access in complex great vessel anatomy
✔ Less ventilation interference
✔ Single incision for staged procedures

Approach selection may influence long-term surgical strategy, not just immediate band placement.

💬 Pediatric cardiac surgeons:
Which approach do you prefer and why?

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