Superior vena cava syndrome after pulsatile bidirectional Glenn shunt procedure: perioperative implications.

dc.contributorNeema, Praveen Kumar
dc.contributorSethuraman, Manikandan
dc.contributorKrishnamanohar, S R
dc.contributorRathod, Ramesh Chandra
dc.date.accessioned2012-12-04T11:45:21Z
dc.date.available2012-12-04T11:45:21Z
dc.date.issued2009
dc.description.abstractBidirectional superior cavopulmonary shunt (bidirectional Glenn shunt) is generally performed in many congenital cardiac anomalies where complete two ventricle circulations cannot be easily achieved. The advantages of BDG shunt are achieved by partially separating the pulmonary and systemic venous circuits, and include reduced ventricular preload and long-term preservation of myocardium. The benefits of additional pulsatile pulmonary blood flow include the potential growth of pulmonary arteries, possible improvement in arterial oxygen saturation, and possible prevention of development of pulmonary arteriovenous malformations. However, increase in the systemic venous pressure after BDG with additional pulsatile blood flow is known. We describe the peri-operative implications of severe flow reversal in the superior vena cava after pulsatile BDG shunt construction in a child who presented for surgical interruption of the main pulmonary artery.
dc.identifier.citationAnnals of cardiac anaesthesia. 12; 1; 53-6en_US
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/1114
dc.publisherAnnals of cardiac anaesthesia
dc.subjectCritical Care
dc.titleSuperior vena cava syndrome after pulsatile bidirectional Glenn shunt procedure: perioperative implications.
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