Off-pump bidirectional Glenn shunt by active decompression of the superior vena cava.
We report 2 cases of infants in whom off-pump bidirectional Glenn shunts were performed. A technique of decompressing the superior vena cava by active manual aspiration has been described. The challenges of maintaning the hemodynamic status, and cerebral protection maneuvers in association with mild hypothermia and a high transcranial pressure have been highlighted.
Maddali
Madan Mohan
MM
Department of Anesthesia, Royal Hospital, Muscat, Sultanate of Oman. madan@omantel.net.om
Mathew
Mathew
M
Fahr
Jutta
J
Valliattu
John
J
D000714:Anastomosis, Surgical; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D019299:Decompression, Surgical; D006330:Heart Defects, Congenital / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D014683:Vena Cava, Superior / Q000502:physiology / Q000601:surgery*