An Epitaph for Cavopulmonary Anastomosis

Robicsek, Francis

doi:10.1016/s0003-4975(10)60888-0

Cited by 28 publications

(8 citation statements)

References 53 publications

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“…[115][116][117][118][119][120][121] This experience firmly established the reality that under certain circumstances, a component of the systemic venous return could be conveyed directly into a lung without the interposition of a ventricular pumping chamber. That the classic Glenn shunt provided excellent palliation for many patients is abundantly clear from the literature, although this procedure was not without its early and late complications.…”

Section: Right Heart Bypass and The Fontan Experiencementioning

confidence: 89%

Pediatric Cardiology and Cardiovascular Surgery: 1950-2000

Freedom

Lock²,

Bricker³

2000

Circulation

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Section: Right Heart Bypass and The Fontan Experiencementioning

confidence: 89%

Pediatric Cardiology and Cardiovascular Surgery: 1950-2000

Freedom

Lock²,

Bricker³

2000

Circulation

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“…Anastomosis between superior vena cava and right pulmonary artery to palliate certain congenital heart diseases with decreased pulmonary blood flow as a way of bypassing the right ventricle has been described as early as 1950s. 11 This procedure was developed by several surgical groups working independently and probably unaware of each other ranging from Italy to Soviet Union to the United States. 11 First clinical application of cavopulmonary shunt was described by Shumacker HB in 1955.…”

Section: Discussionmentioning

confidence: 99%

“…11 This procedure was developed by several surgical groups working independently and probably unaware of each other ranging from Italy to Soviet Union to the United States. 11 First clinical application of cavopulmonary shunt was described by Shumacker HB in 1955. 12 Dr William WL Glenn from Yale University further popularized this procedure with his experimental work in dogs and subsequent translation into clinical practice; [13][14][15] and today this procedure bears his name on it as Glenn procedure (classic Glenn/ bidirectional Glenn).…”

Section: Discussionmentioning

confidence: 99%

In Hospital Outcomes after Bidirectional Cavopulmonary Anastomosis: 18 Year Experience from a Single Center

et al. 2020

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Background: Bidirectional cavopulmonary shunt (BCPS) is used for the interim palliation of a variety of cyanotic cardiac lesions. It is a standard palliative step for patients with functionally univentricular hearts in hope of achieving Fontan completion. At our center, first case of BCPS was performed on February 7, 2002. Here, we share our experience with BCPS over last 18 years. Methods: This is a retrospective analysis of all patients undergoing BCPS from February 2002 to July 2019. Patients who underwent BCPS as a part of one-and-half ventricular repair for Ebstein’s anomaly were excluded. Baseline, intraoperative, and postoperative variables were collected from hospital records. Results: A total of 326 patients with mean age of 5.7±5.8 years (median 3.5 years; range: 1.5 months-32 years) underwent BCPS over last 18 years. Majority (61%) were males. Double outlet right ventricle (DORV) was the most common primary cardiac lesion (30%) followed by tricuspid atresia (23%). Mean ICU stay was 3.9±4.8 days, with hospital stay of 7.8±5.9 days. In-hospital mortality was 15%. Patients who died had low body weight (11.8±10.7 kg vs 16.0±11.6 kg; p=0.019), and longer cardiopulmonary bypass time (101±64 min vs 76±42 min; p=0.001). Oxygen saturation improved significantly at the time of discharge (79.2±9.5% vs 68.6±13.7%; p=0.000). Conclusion: This is the first report of its kind to analyze the outcomes of BCPS in our center. We have discussed the evolution of BCPS surgery in our center and presented our outcomes. Our in-hospital mortality remains high, and we need to strive towards reducing the mortality.

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“…Because of these limitations, the Glenn shunt fell out of routine use (22). However, to paraphrase the author Mark Twain, reports of its demise were premature.…”

Section: Surgery For Decreased Pulmonary Blood Flowmentioning

confidence: 99%