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Bidirectional Glenn Shunt: Stage I Palliative Surgery

  • Bin Qiao
  • Ji Feng Ju
Chapter

Abstract

Based on the animal experimental study performed by Haller, Dogliotti et al. had made improvements on classical Glenn surgery, including transection of the superior vena cava, closure of its atrial end, and end-to-side anastomosis of its distal end to the right pulmonary artery. These improvements can ensure not only the continuity between pulmonary artery and the superior vena cava but blood flow to the bilateral pulmonary artery. Bidirectional Glenn shunt, hence its name, was widely used in clinic for the treatment of functional single ventricle as a better surgical method instead of classic Glenn shunt.

References

  1. Hopkins RA, Armstrong BE, Serwer GA, Peterson RJ, Oldham HN. Physiological rationale for a bidirectional cavopulmonary shunt. A versatile complement to the Fontan principle. J Thorac Cardiovasc Surg. 1985;90(3):391–8.PubMedGoogle Scholar
  2. Mazzera E, Corno A, Picardo S, Di Donato R, Marino B, Costa D, Marcelletti C. Bidirectional cavopulmonary shunts: clinical applications as staged or definitive palliation. Ann Thorac Surg. 1989;47(3):415–20.  https://doi.org/10.1016/0003-4975(89)90384-6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. and People's Medical Publishing House Co. Ltd. 2018

Authors and Affiliations

  • Bin Qiao
    • 1
    • 2
  • Ji Feng Ju
    • 3
  1. 1.Cardiovascular InstituteGeneral Hospital of Jinan Military RegionJinanChina
  2. 2.Cardiac Surgery CenterWestern District of Shandong Provincial HospitalJinanChina
  3. 3.Institute of Cardiovascular Diseases, Jinan Military Region General Hospital of PLAJinanChina

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