Bidirectional Glenn: open technique of anastomosis on cardiopulmonary bypass

Talwar, Sachin; Kumar, Manikala Vinod; Makhija, Neeti; Kapoor, Poonam Malhotra; Choudhary, Shiv Kumar; Airan, Balram

doi:10.1007/s12055-015-0379-0

Cited by 6 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on these observations, we have developed a surgical technique wherein we do open anastomosis at the SVC end without cannulating the latter and use a small straight cannula in the IVC. The open‐end technique of anastomosis of the graft to the SVC is based on our previous technique of the open Glenn anastomosis, wherein the SVC is not cannulated and the blood returning from the SVC is drained by a sump sucker. The main advantage of this open technique is that there is no need of cannulating or clamping the SVC, more so in smaller patients.…”

Section: Discussionmentioning

confidence: 99%

“…With cannulation of the SVC, there is always some traction on the SVC, which hinders the performance of the anastomosis and also the snare around the cannula may lead to distortion of the SVC and may create anastomotic distortion. Even though the opening in the SVC can be eliminated by repairing it with fine sutures, mere tying the purse on the SVC carries the risk of SVC narrowing and producing even small gradients in the venous circuits that may adversely impact hemodynamic in the completed Fontan circuit …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An alternative technique for completion of the total cavopulmonary connection

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Total Cavopulmonary connection (Fontan) is the final palliation for patients with a functionally univentricular heart. This is commonly accomplished after a prior bidirectional Glenn on cardiopulmonary bypass (CPB) with separate cannulation of the aorta, superior vena cava (SVC), and inferior vena cava. We describe an alternative technique of Fontan completion that eliminates the need for cannulation and dissection of the SVC, and pulmonary artery dissection. Methods Between January and October 2018, 17 patients underwent completion Fontan using an alternate technique at our institute. All operations were conducted on CPB at normothermia without cannulating the SVC Results Mean CPB time was 60 ± 16.8 minutes (range, 39‐102 minutes). There were no early deaths. Mean postoperative Fontan pressures were 15.6 ± 1.2 mm Hg with no gradient between the SVC and IVC pressures. Mean duration of hospital stay was 15.6 ± 3.6 days (range, 10‐22 days). No patient developed phrenic nerve paresis or palsy. Conclusions Completion without cannulating the SVC is simple, reproducible, and easy to teach. It avoids the disadvantages associated with routine techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An alternative technique for completion of the total cavopulmonary connection

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Our technique of BDG on‐CPB has been previously described in detail . Normothermic CPB was established using standard aortic cannulation and the morphologic right atrial (RA) appendage (RAA) was cannulated with a right‐angled cannula directed downwards.…”

Section: Methodsmentioning

confidence: 99%

Bidirectional superior cavopulmonary anastomosis with or without cardiopulmonary bypass: A randomized study

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…This technique has been described in detail in our prior publication . In this technique, normothermic CPB was established with aortic and right atrial (RA) appendage (RAA) cannulation using a right‐angled cannula.…”

Section: Methodsmentioning

confidence: 99%