Bilateral pulmonary artery banding in a neonate with Loeys-Dietz syndrome and complex congenital heart disease may be contraindicated due to extreme tissue fragility leading to fatal rupture.
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Fatal rupture after banding in Loeys-Dietz neonates warrants extreme caution; hypothesis-generating for alternative strategies in this fragile population.
Ozawa et al. (2014) studied this question.
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