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.
Department of Anesthesia, Royal Hospital, Muscat, Sultanate of Oman. madan@omantel.net.om
Madan Mohan
MM
Maddali
Mathew
M
Mathew
Jutta
J
Fahr
John
J
Valliattu
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*