Evidence map›Paper›PMID 42406064›Full record

ArticlePediatric cardiology2026

Fenestrated PECA exGraft Patch as a Novel Modifiable Internal Pulmonary Artery Band: A Case Report.

Eshaan Rao, Danica Peterson, John Nigro, Srujan Ganta, Marjan Hesari, Justin Ryan, Aaron El-Sabrout, Howaida El-Said

Abstract read
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In one paragraph

Article in Pediatric cardiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eshaan Rao *Division of Cardiology, Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA.
Danica Peterson *Division of Cardiology, Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA. danica.peterson@gmail.com.
John NigroDepartment of Surgery, University of California, La Jolla, San Diego, CA, USA.
Srujan GantaDepartment of Surgery, University of California, La Jolla, San Diego, CA, USA.
Marjan HesariDivision of Cardiology, Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA.
Justin RyanHelen and Will Webster Foundation 3D Innovations Lab, Rady Children's Hospital, San Diego, CA, USA.
Aaron El-SabroutDivision of Cardiology, Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA.
Howaida El-SaidDivision of Cardiology, Department of Pediatrics, University of California, La Jolla, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary overcirculation in single-ventricle physiology often requires early modulation to preserve systemic output while balancing the timing and risk of surgical palliation. We report the first use of a fenestrated balloon-expandable PECA exGraft patch as a modifiable intraluminal pulmonary artery band (IL-PAB). A full-term neonate with heterotaxy syndrome, complex anatomy with borderline left ventricle, ductal-dependent systemic circulation, and primary ciliary dyskinesia developed severe pulmonary overcirculation with respiratory instability, making early surgery prohibitive. Initial transcatheter pulmonary flow restrictor placement achieved hemodynamic stabilization. At 8 weeks of age, during aortic arch repair, a fenestrated PECA exGraft IL-PAB was implanted in the main pulmonary artery. Progressive restriction with somatic growth was subsequently treated by transcatheter balloon dilation of the graft fenestration, resulting in improved oxygenation and reduced gradient. This case demonstrates the feasibility of a staged and catheter-modifiable strategy for pulmonary blood flow regulation using an expandable internal pulmonary artery band in high-risk infants requiring adaptable physiologic control.

Indexed as

HeterotaxyIntraluminal pulmonary artery bandPrimary ciliary dyskinesiaPulmonary flow restrictorsSingle ventricle

Identifiers

PMID42406064

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.