scholarly journals Uncontrolled Antegrade Pulmonary Blood Flow and Delayed Fontan Completion After the Bidirectional Glenn Procedure: Real-World Outcomes in China

2016 ◽  
Vol 101 (4) ◽  
pp. 1530-1538 ◽  
Author(s):  
Tao Zhang ◽  
Yisheng Shi ◽  
Kaihong Wu ◽  
Zhongdong Hua ◽  
Shoujun Li ◽  
...  
Keyword(s):  
Blood Flow ◽  
Real World ◽  
Pulmonary Blood Flow ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

Effect of Accessory Pulmonary Blood Flow on Survival After the Bidirectional Glenn Procedure

Circulation ◽  
1999 ◽  
Vol 100 (suppl_2) ◽  
Author(s):  
Richard D. Mainwaring ◽  
John J. Lamberti ◽  
Karen Uzark ◽  
Robert L. Spicer ◽  
Mark W. Cocalis ◽  
...  
Keyword(s):  
Blood Flow ◽  
Mortality Rate ◽  
Pulmonary Blood Flow ◽  
Single Ventricle ◽  
Fontan Operation ◽  
Right Ventricular Outflow Tract ◽  
Bidirectional Glenn ◽  
Actuarial Analysis ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

Background —The bidirectional Glenn procedure (BDG) is used in the staged surgical management of patients with a functional single ventricle. Controversy exists regarding whether accessory pulmonary blood flow (APBF) should be left at the time of BDG to augment systemic saturation or be eliminated to reduce volume load of the ventricle. The present study was a retrospective review of patients undergoing BDG that was conducted to assess the influence of APBF on survival rates. Methods and Results —From 1986 through 1998, 149 patients have undergone BDG at our institution. Ninety-three patients had elimination of all sources of APBF, whereas 56 patients had either a shunt or a patent right ventricular outflow tract intentionally left in place to augment the pulmonary blood flow provided by the BDG. The operative mortality rate was 2.2% without APBF and 5.4% with APBF. The late mortality rate was 4.4% without APBF and 15.1% with APBF. Actuarial analysis demonstrates a divergence of the Kaplan-Meier curves in favor of patients in whom APBF was eliminated ( P <0.02). One hundred seven patients have subsequently undergone completion of their Fontan operation, so the actuarial analysis includes the operative risk of this second operation. Conclusions —The results suggest that the elimination of APBF at the time of BDG may confer a long-term advantage for patients with a functional single ventricle.

scholarly journals 134 * DOES FORWARD PULMONARY BLOOD FLOW INFLUENCE THE OUTCOMES OF THE BIDIRECTIONAL GLENN PROCEDURE?

2013 ◽  
Vol 17 (suppl 2) ◽  
pp. S102-S102
Author(s):  
Q. Chen ◽  
M. Kia ◽  
M. Caputo ◽  
S. Stoica ◽  
R. Tulloh ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Blood Flow ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

Effect of Accessory Pulmonary Blood Flow on Survival After the Bidirectional Glenn Procedure

Circulation ◽  
1999 ◽  
Vol 100 (Supplement 2) ◽  
pp. II-151-II-156 ◽  
Author(s):  
R. D. Mainwaring ◽  
J. J. Lamberti ◽  
K. Uzark ◽  
R. L. Spicer ◽  
M. W. Cocalis ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Blood Flow ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

scholarly journals The effect of antegrade pulmonary blood flow following a late bidirectional Glenn procedure

2017 ◽  
Vol 26 (3) ◽  
pp. 454-459 ◽  
Author(s):  
Tao Yan ◽  
Guang Tong ◽  
Ben Zhang ◽  
Feng Yan ◽  
Xuan Zhou ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Blood Flow ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

scholarly journals Commentary: The bidirectional Glenn procedure can be useful in palliating late presenting patients with complex congenital heart disease

2021 ◽  
Author(s):  
John Lamberti
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Diagnostic Testing ◽  
Treatment Algorithm ◽  
Complex Congenital Heart Disease ◽  
Additional Information ◽  
Bidirectional Glenn ◽  
Bidirectional Glenn Procedure ◽  
Glenn Procedure

The authors successfully utilize the bidirectional Glenn procedure to palliate late presenting, cyanotic patients with complex congenital heart disease. Additional information regarding preoperative diagnostic testing would be helpful. There is little information regarding patient screening and selection for the procedure. The short term results are satisfactory, however, mid-term and longer follow-up data is lacking. The treatment algorithm suggested by the report might be useful in other settings.

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