Effectiveness of Bidirectional Glenn Shunt Placement for Palliation in Complex Congenitally Corrected Transposed Great Arteries

Texas Heart Institute Journal
Kai MaGuanxi Wang

Abstract

Surgery for complex congenitally corrected transposed great arteries is one of the greatest challenges in cardiovascular surgery. We report our experience with bidirectional Glenn shunt placement as a palliative procedure for complex congenitally corrected transposition. We retrospectively identified 50 consecutive patients who had been diagnosed with congenitally corrected transposition accompanied by left ventricular outflow tract obstruction and ventricular septal defect and who had then undergone palliative bidirectional Glenn shunt placement at our institution from January 2005 through December 2014. Patients were divided into 3 groups according to subsequent surgeries: Fontan completion (total cavopulmonary connection, 13 patients) (group 1), anatomic repair (hemi-Mustard and Rastelli procedures without Glenn takedown, 11 patients) (group 2), and prolonged palliation (no further surgery, 26 patients) (group 3). After shunt placement, no patient died or had ventricular dysfunction. Overall, mean oxygen saturation increased significantly from 79.5% ± 13.5% preoperatively to 94.1% ± 7.3% (P <0.001). The median time from shunt placement to Fontan completion and anatomic repair, respectively, was 2.1 years (range, 1.6-5.2 yr) ...Continue Reading

References

Jan 1, 1967·British Heart Journal·R Van Praagh, S Van Praagh
Jul 1, 1996·The Annals of Thoracic Surgery·J L TermignonJ Y Neveux
Jan 3, 2001·The Journal of Thoracic and Cardiovascular Surgery·C Stamm Del Nido PJ
Jul 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Brian W DuncanLarry A Latson
Jun 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Mark A ScheurerScott M Bradley
Sep 24, 2008·The Thoracic and Cardiovascular Surgeon·J HörerR Lange
Apr 7, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mohamedou LyAlain Serraf
Nov 26, 2009·The Annals of Thoracic Surgery·Yves d'UdekemDan J Penny
Mar 30, 2011·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Osami HonjoGlen S Van Arsdell
Oct 1, 2011·The Journal of Thoracic and Cardiovascular Surgery·Bari MurtuzaWilliam J Brawn
Mar 10, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Vladimir SojakMark Hazekamp
May 15, 2012·The Annals of Thoracic Surgery·Akio IkaiHitoshi Okabayashi
Sep 4, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Rebecca T HahnMichael H Picard
Apr 17, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kang-Hong HsuIng-Sh Chiu
May 6, 2015·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Jose Pedro Da SilvaJose Cicero Guilhen
Nov 22, 2015·Interactive Cardiovascular and Thoracic Surgery·Sachin TalwarBalram Airan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Asian Cardiovascular & Thoracic Annals
Kanchi Muralidhar
Asian Cardiovascular & Thoracic Annals
Amit MishraMarthandavarma Sankaran Valiathan
© 2021 Meta ULC. All rights reserved