Skip to main content Accessibility help
×
Home

When the bi-directional Glenn is an unfavourable option: primary extracardiac inferior cavopulmonary connection as an alternative palliation

  • Ali Dodge-Khatami (a1), Avichal Aggarwal (a2), Mary B. Taylor (a2) (a3), Douglas Maposa (a4) and Jorge D. Salazar (a1)...

Abstract

The superior cavopulmonary anastomosis – bi-directional Glenn – is the standard palliation for single ventricle physiology. When upper body systemic venous anatomic concerns such as superior caval vein stenosis, hypoplasia, or inadequate collateral tributaries are present, a Glenn may be precluded or have a high risk of poor outcome. A primary inferior cavopulmonary connection with an extracardiac conduit is an alternative palliation that provides a generous pathway for pulmonary blood flow, with the additional benefit of including hepatic venous return. We report a case of primary extracardiac inferior cavopulmonary connection in a patient unsuitable for Glenn, with successful post-operative outcome and early follow-up.

Copyright

Corresponding author

Correspondence to: Dr A. Dodge-Khatami, MD, PhD, Chief, Division of Pediatric and Congenital Heart Surgery, Children’s Heart Center, Professor of Surgery, University of Mississippi Medical Center, 2500 North State Street, Room S345, Jackson, MS 39216, United States of America. Tel: +(601) 984 4693; Fax: +(601) 984 5872; E-mail: adodgekhatami@umc.edu

References

Hide All
1. Pridjian, AK, Mendelsohn, AM, Lupinetti, FM, et al. Usefulness of the bidirectional Glenn procedure as staged reconstruction for the functional single ventricle. Am J Cardiol 1993; 71: 959962.
2. Bernstein, HS, Brook, MM, Silverman, NH, Bristow, J. Development of pulmonary arteriovenous fistulae in children after cavopulmonary shunt. Circulation 1995; 92 (Suppl): II309II314.
3. Knight, WB, Mee, RBB. A cure for pulmonary arteriovenous fistulas? Ann Thorac Surg 1995; 59: 9991001.
4. Iyer, GK, Van Arsdell, GS, Dicke, FP, McCrindle, BW, Coles, JG, Williams, WG. Are bilateral superior vena cavae a risk factor for single ventricle palliation? Ann Thorac Surg 2000; 70: 711716.
5. Macé, L, Dervanian, P, Losay, J, et al. Bidirectional inferior vena cava-pulmonary artery shunt. Ann Thorac Surg 1997; 63: 13211325.

Keywords

When the bi-directional Glenn is an unfavourable option: primary extracardiac inferior cavopulmonary connection as an alternative palliation

  • Ali Dodge-Khatami (a1), Avichal Aggarwal (a2), Mary B. Taylor (a2) (a3), Douglas Maposa (a4) and Jorge D. Salazar (a1)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed