Take-down of cava-pulmonary artery anastomosis (Gleen) during repair of congenital cardiac malformations: report of 5 cases.
The dismantling of previously made anastomses between the superior vena cava and right pulmonary artery (Glenn shunts) and reconstruction of superior vena cava-right artial continuity have been accomplished in 5 patients at the time of intracardiac repair of congenital heart defects. All patients survived the hospitalization period, but 2 died late postoperatively of causes apparently not related to the cava-atrial reconstruction. Experience with these 5 patients and the intraoperative techniques employed are presented.
D000293:Adolescent; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000209:etiology; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass; D002648:Child; D002916:Chylothorax / Q000209:etiology; D003490:Cyanosis / Q000209:etiology; D006325:Heart Atria / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007036:Hypothermia, Induced; D008722:Methods; D011086:Polycythemia / Q000209:etiology; D011183:Postoperative Complications / Q000601:surgery*; D011651:Pulmonary Artery / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*