Off pump bidirectional Glenn performed through a thoracotomy

Dixit, Mahadev; Gan, Mohan; Dubey, Anuradha; Pradeep, Kizakke K.; Mohapatra, Raghunath; Dayal, Aruneshwari

doi:10.1007/s12055-007-0033-6

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…Later, Jahangiri et al reported BDG without CPB through a right thoracotomy without using any SVC to RA shunt without any adverse neurological sequelae. Similarly, Dixit et al reported a series of 15 patients operated off‐CPB via a thoracotomy to avoid a re‐sternotomy at the time of Fontan completion. However, the selection criteria in their series were stringent as establishing emergency CPB through this approach is difficult.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…Lamberti polished his research on seven patients in 1990 and after that, there were a series of studies by other authors on off-pump BDG surgery. 1,5,6 Until now, there have been no official reports on this technique in Vietnam.…”

Section: Commentsmentioning

confidence: 99%

Bidirectional Glenn operation without cardiopulmonary bypass: Single center experience and results

Nguyen,

Nguyen

et al. 2023

Asian Cardiovasc Thorac Ann

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Background The bidirectional Glenn (BDG) shunt operation serves as temporary surgery for the treatment of single-ventricle physiology with the eventual Fontan procedure. In some cases, the procedure can be performed without the support of a cardiopulmonary bypass (CPB) machine. In this study, we present the surgical outcomes of off-pump BDG operation with the use of a temporary veno-atrial shunt to decompress the superior vena cava (SVC) during clamping time. Methods A cohort of 23 patients underwent off-pump BDG operations at Cardiovascular Center, E Hospital. All patients were operated on using a veno-atrial shunt to decompress the SVC. Results Satisfactory results with mean oxygen saturation increased from 79.6 ± 11.2% to 87.2 ± 4.7%. The SVC clamping time was 14 ± 2.4 min (ranging from 12 to 21 min). Among 23 patients, only six patients required blood transfusion, 17 patients had BDG without blood transfusion. No neurological complications or deaths occurred after the surgery, and the post-operative period was uneventful. Conclusions The use of veno-atrial shunts to decompress SVC during off-pump BDG operation is safe with good surgical outcomes and can avoid the deleterious effects caused by CPB. It is easily reproducible, at low cost and economically effective.

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“…The bidirectional cavopulmonary connection, also known as the ''bidirectional Glenn'' (BDG) anastomosis, a palliative operation performed in various congenital heart defects with 1 functional ventricle, is usually undertaken via sternotomy with cardiopulmonary bypass. Although there are a few reports of off-pump BDG via thoracotomy access, [1][2][3] to our knowledge a subaxillary approach has never been reported. We describe a case of bidirectional cavopulmonary anastomosis successfully performed through a small right middle subaxillary thoracotomy in an infant with tricuspid atresia in a developing country.…”

mentioning

confidence: 94%