Mortality of Pulmonary Artery Banding

Background:Although pulmonary artery banding (PAB) seems to be a technically simple procedure it presents several peculiarities and is related to a significant morbid- ity and mortality. We lack information on this procedure in our center. Methods: Seventy patients who were randomly allocated into two groups underwent anesthesia by Total IV anesthesia, midazolam, fentanyl and atracurim and, in end of surgery each group received morphine sulfat 0.2 mg/kg after arrived in ICU, morphin PCA was started with demand (bolus) dose 1mg, lockout interval 10 minutes. The Tra- madol group after separated from cardiopulmonary bypass received an intra operative initial loading dose of Tramadol (1mg/kg) and a postoperative infusion of Tramadol at 0.2 mg• kg-1• h-1. The control group received an intra operative equivalent volume of normal saline and a postoperative saline infusion (placebo). The demographic data of both groups were the same. Post-operative data were recorded in the cardiac intensive care unit at 30 min, 1 h, 2 h, 4 h, 12 h and 24 h after extubation by the same anesthesiol- ogist, who had no knowledge of the groups, and the side-effects were also evaluated. Results:From January 2003 to December 2009, 100 patients underwent PAB due to congenital heart disease with increased pulmonary blood flow at Imam Reza hospital. They were assessed as for hospital mortality and complications. Conclusions:WWe found no improvement in the hospital mortality of pulmonary ar- tery banding. These results will support the preference for primary repair of intracar- diac anomalies in small infants.