Heart failure & cardiomyopathies

Pulmonary Artery Banding for Cardiomyopathy in Young Children: First Trial in China

ESC Heart FailPublished Prospective single-group study

Authors' conclusion

Initial results are promising for infants and even toddlers with a dilated left ventricle and limited probability of spontaneous recovery.

Study context

Population
Paediatric patients with a significantly dilated LV and preserved RV (dilated cardiomyopathy (DCM))5 boys
Participants
7 patients
Exposure
Before vs after surgical pulmonary artery banding (PAB)
  • PABn = 7
Outcome
LVEF and LV end-diastolic diameter (Z-score), before surgery vs follow-up
Follow-up
348 (200, 629) days
Methodological detailsInitiated in November 2021
  • Initiated in November 2021

Main finding

As reported in the abstract

follow-up of 348 (200, 629) days

Median LVEF before surgery → follow-up

27.0 (15.0, 34.0) % → 61.0 (52.0, 68.0) %

P < 0.05

Median LV end-diastolic diameter [Z-score] before surgery → follow-up

43.0 (40.0, 55.0) mm [+9.4 (+7.7, +11.7)] → 33.0 (29.0, 39.0) mm [+1.8 (+1.3, +3.8)]

P < 0.05

Functional regeneration of the LV

5 patients

Observational data: associations, not effects.

Safety

OutcomeValues
Balloon dilation of the PAB to relieve excessively elevated RV pressuresThree of the five patients with functional regenerationPAB 3 events

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Pulmonary Artery Banding for Cardiomyopathy in Young Children: First Trial in China. ESC Heart Fail. Published 18 July 2024. doi:10.1002/ehf2.14978

Composed by AI from the published abstract and checked against it. How Briefs are made →

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