Bidirectional Glenn procedure with and without cardiopulmonary bypass: Short term results

Deebis, Ahmed; Gabal, A. E. K.; Abdel-Sadek, M.; Fadaly, Ahmed

doi:10.1016/j.jescts.2017.07.006

Cited by 1 publication

(9 citation statements)

References 21 publications

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“…The median CPB time in our study (72 min) is comparable to that of Lapar et al 7 (73 min) but longer compared to that reported by Deebis et al 13 (mean: 25.41 ± 5.17 min) and Talwar et al 8 (47 ± 29.9 min.) The longer CPB time in our study could be attributed to the higher incidence of bilateral superior vena cavae (SVC) as well as the increased number of concomitant intracardiac procedures in our patients.…”

Section: Discussionsupporting

confidence: 82%

“…The median duration of the ICU stay was 5 days comparable to Deebis et al 13 (mean: 4.07 ± 4.23 days). It was longer compared to the duration of ICU stay reported by Talwar et al 8 (mean: 24.04 ± 26.8 h) and Kogon et al 10 (median 50 h).…”

Section: Discussionsupporting

confidence: 72%

“…The median mechanical ventilation time in our study was 6.7 h comparable to that of Talwar et al 8 (mean: 8.4 ± 18.8 h). It was lower than the mechanical ventilation time reported by Deebis et al 13 (mean: 12 ± 9.23 h) and Lapar et al 7 (mean: 10.17 ± 8.96 h).…”

Section: Discussioncontrasting

confidence: 56%

“…The median hospital stay in our patients was 10 days which is comparison to that reported by Deebis et al 13 (15.9 ± 8.25 days) but longer than the duration of hospital stay reported by LaPar et al 7 (median: 7.5 days).…”

Section: (Median 50 H)contrasting

confidence: 50%

“…The early hospital mortality in our study group is 10.4%. The hospital mortality rates varies from 0% to 33% in various studies reported by Tanoue et al 22 (0.9%), Liu et al 12 (0%), Mostafa EA et al 20 (4%), Reddy Kandakure et al 16 (2.14%), Warrier et al (3.6%), Tireli et al 33 (3.3%), Lapar et al 7 (0.9%), Kogon et al 10 (2%), Jaquiss et al 36 (0%), Reddy et al 11 (4.8%), Talwar et al 8 (1.86%), Deebis et al 13 (7.4% in the CPB group, 10.5% in the non‐CPB group) and Azzolina et al 9 (33%).…”

Section: Discussionmentioning

confidence: 99%

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Early outcomes after the on pump bidirectional Glenn procedure: A single center experience

Naik

Srivastava

Arsiwala

et al. 2021

Journal of Cardiac Surgery

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Objective Bidirectional Glenn procedure is a staged palliative procedure for patients with the univentricular hearts or complex congenital heart disease. We in our study, attempted to evaluate the preoperative characteristics, operative data and the early postoperative outcomes in the patients who underwent Bidirectional Glenn procedure at our center. Methods In our single center retrospective experience, 115 patients underwent Bidirectional Glenn procedure from January 2015 to December 2019. Results The mean age of the patients was 6.55 ± 6.5 years (range from 9 months to 48 years) and a median of 5 years. The most common anatomic diagnosis was double outlet right ventricle (n = 49, 42.6%). The primary diagnosis and the additional cardiac anamolies were not associated with the adverse outcomes. The increased cardiopulmonary bypass and operative time affect the postoperative outcomes. The median oxygen saturation in the patients postoperatively was 82%. The median postoperative stay was 8 days. The early postoperative complications were seen in 29 patients (25.2%). There were 12 early deaths (10.4%) in our study. The late age of presentation and poor preoperative nutrition, increased the risk of the postoperative morbidity and mortality. Conclusion Bidirectional Glenn procedure is an effective procedure to improve efficacy of the gas exchange and reduce volume overload on the single ventricle at early as well as late stages. However, the late age of presentation increases the risk of the postoperative outcomes.

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Section: Discussionsupporting

confidence: 82%