0
ARTICLE |

Functional Closure of the Ventricular Septal Defect After Pulmonary Artery Banding: Title and subTitle BreakAn Unusual Late Complication FREE

Keshava Murthy, MD; René A. Arcilla, MD; Peter V. Moulder, MD; Donald E. Cassels, MD
[+] Author Affiliations

Reprint requests to 950 E 59th St, Chicago 60637 (Dr. Arcilla).


JAMA. 1968;205(8):592-594. doi:10.1001/jama.1968.03140340062020
Text Size: A A A
Published online

A 9-week-old infant with a large ventricular septal defect (VSD) underwent successful banding of the pulmonary artery with clinical improvement. Spontaneous functional closure of the VSD later developed and, at age 4 1/2 years, the clinical and hemodynamic findings were those of severe isolated pulmonary stenosis with right ventricular failure. Severe right ventricular hypertrophy appearing late in the postoperative period should alert one of the possibility of a spontaneously closing VSD.

REFERENCES

Muller, W.H., Jr., and Dammann, J.F., Jr.:  The Treatment of Certain Congenital Malformations of the Heart by the Creation of Pulmonic Stenosis to Reduce Pulmonary Hypertension and Excessive Pulmonary Blood Flow , Surg Gynec Obstet 95: 213-219 ( (Aug) ) 1952;.
Osborn, J.R., et al:  An Unusual Late Complication of Pulmonary Artery Banding , Circulation 34:61-64 ( (July) ) 1966;.
Therkesen, F.; Gammelgaard, P.A.; and Boesen, I.:  Ventricular Septal Defects in Infants Treated With Various Modifications of the Dammann-Muller Operation , Acta Chir Scand 245 ( (suppl) ):249-258, 1959;.
Albert, H.M., et al:  Pulmonary Artery Banding: A Treatment for Infants With Intractable Cardiac Failure Due to Interventricular Septal Defects , Circulation 23:16-20 ( (Jan) ) 1961;.
Craig, T.V., and Sirak, H.D.:  Pulmonary Artery Banding: An Analysis on 38 cases , J Thorac Cardiov Surg 45:599-604 ( (May) ) 1963;.
Goldblatt, A., et al:  Pulmonary Artery Banding: Indications and Results in Infants and Children , Circulation 32:172-184 ( (Aug) ) 1965;.
Grainger, R.G., et al:  Pulmonary Artery Banding for Ventricular Septal Defect , Brit Heart J 29:289-298 ( (May) ) 1967;.
Hallman, G.L.; Cooley, D.A.; and Bloodwell, R.D.:  Two-Stage Surgical Treatment of Ventricular Septal Defect: Results of Pulmonary Artery Banding in Infants and Subsequent Open-Heart Repair , J Thorac Cardiov Surg 52:476-484 ( (Oct) ) 1966;.
Morrow, A.G., and Braunwald, N.S.:  The Surgical Treatment of Ventricular Septal Defect in Infancy: The Technique and Results of Pulmonary Artery Constriction , Circulation 24: 34-40 ( (July) ) 1961;.
Smith, G.W., et al:  "Banding of the Pulmonary Artery: Indications and Results,"  in Cassels, D.E. (ed.): The Heart and Circulation in the Newborn Infant , New York: Grune & Stratton, Inc., 1966;, p 389.
Willman, V.L., et al:  Treatment of Ventricular Septal Defect by Constriction of Pulmonary Artery , Arch Surg 85:745-753 ( (Nov) ) 1962;.
Takahashi, M., et al:  Clinical and Hemodynamic Effects of Pulmonary Artery Banding , Amer J Cardiol 21:174-184 ( (Feb) ) 1968;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Muller, W.H., Jr., and Dammann, J.F., Jr.:  The Treatment of Certain Congenital Malformations of the Heart by the Creation of Pulmonic Stenosis to Reduce Pulmonary Hypertension and Excessive Pulmonary Blood Flow , Surg Gynec Obstet 95: 213-219 ( (Aug) ) 1952;.
Osborn, J.R., et al:  An Unusual Late Complication of Pulmonary Artery Banding , Circulation 34:61-64 ( (July) ) 1966;.
Therkesen, F.; Gammelgaard, P.A.; and Boesen, I.:  Ventricular Septal Defects in Infants Treated With Various Modifications of the Dammann-Muller Operation , Acta Chir Scand 245 ( (suppl) ):249-258, 1959;.
Albert, H.M., et al:  Pulmonary Artery Banding: A Treatment for Infants With Intractable Cardiac Failure Due to Interventricular Septal Defects , Circulation 23:16-20 ( (Jan) ) 1961;.
Craig, T.V., and Sirak, H.D.:  Pulmonary Artery Banding: An Analysis on 38 cases , J Thorac Cardiov Surg 45:599-604 ( (May) ) 1963;.
Goldblatt, A., et al:  Pulmonary Artery Banding: Indications and Results in Infants and Children , Circulation 32:172-184 ( (Aug) ) 1965;.
Grainger, R.G., et al:  Pulmonary Artery Banding for Ventricular Septal Defect , Brit Heart J 29:289-298 ( (May) ) 1967;.
Hallman, G.L.; Cooley, D.A.; and Bloodwell, R.D.:  Two-Stage Surgical Treatment of Ventricular Septal Defect: Results of Pulmonary Artery Banding in Infants and Subsequent Open-Heart Repair , J Thorac Cardiov Surg 52:476-484 ( (Oct) ) 1966;.
Morrow, A.G., and Braunwald, N.S.:  The Surgical Treatment of Ventricular Septal Defect in Infancy: The Technique and Results of Pulmonary Artery Constriction , Circulation 24: 34-40 ( (July) ) 1961;.
Smith, G.W., et al:  "Banding of the Pulmonary Artery: Indications and Results,"  in Cassels, D.E. (ed.): The Heart and Circulation in the Newborn Infant , New York: Grune & Stratton, Inc., 1966;, p 389.
Willman, V.L., et al:  Treatment of Ventricular Septal Defect by Constriction of Pulmonary Artery , Arch Surg 85:745-753 ( (Nov) ) 1962;.
Takahashi, M., et al:  Clinical and Hemodynamic Effects of Pulmonary Artery Banding , Amer J Cardiol 21:174-184 ( (Feb) ) 1968;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.