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Asian Cardiovasc Thorac Ann 2004;12:103-106
© 2004 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTION

Clinical Application of Bidirectional Glenn Shunt with Off-Pump Technique

Xin-Jin Luo, MD, Jun Yan, MD, Qing-Yu Wu, MD, Ke-Ming Yang, MD, Jian-Ping Xu, MD, Ying-Long Liu, MD

Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, Beijing, People’s Republic of China

For reprint information contact: Xin-Jin Luo, MD Tel: 86 10 6831 4466 Fax: 86 10 8770 1652 Email: luoxinjin{at}yahoo.com Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, 167 Beilishi Road, Beijing 100037, People’s Republic of China.

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.




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Convulsive syncope after bidirectional Glenn shunts: physiological implications for a neurological event
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