Clinical application of bidirectional Glenn shunt with off-pump technique.
A study was conducted to evaluate the outcomes of the bidirectional Glenn shunt technique performed off-pump. Between April 1999 and April 2001, 36 patients underwent bidirectional Glenn shunt, unilateral in 28 patients and bilateral in 8 patients, without using cardiopulmonary bypass. The patients consisted of 25 males and 11 females with a mean age of 5.7 +/- 5.4 years and a mean body surface area of 0.72 +/- 0.34 m2. Preoperative percutaneous oxygen saturation was 75% +/- 7%, and pulmonary arterial pressure was 14.3 +/- 3.6 mmHg. There was no operative mortality. Chylothorax occurred in 1 patient in the early postoperative period. All the other patients were discharged without complications. Mean arterial oxygen saturation at discharge was 92.7% +/- 4.0%. This shunt technique is easy to perform and is helpful in the early management of patients with a functionally univentricular heart. However, much remains to be learned about this unusual physiological system.
Luo
Xin-Jin
XJ
Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, Beijing, People's Republic of China. luoxinjin@yahoo.com
Yan
Jun
J
Wu
Qing-Yu
QY
Yang
Ke-Ming
KM
Xu
Jian-Ping
JP
Liu
Ying-Long
YL
D000293:Adolescent; D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D001241:Aspirin / Q000627:therapeutic use; D001794:Blood Pressure / Q000502:physiology; D002315:Cardiopulmonary Bypass; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D007229:Infant Welfare; D008297:Male; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology; D011651:Pulmonary Artery / Q000601:surgery; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000601:surgery
D010975:Platelet Aggregation Inhibitors; D001241:Aspirin