Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bidirectional Glenn procedure without cardiopulmonary bypass.

Jinfen Liu1, Yanan Lu, Huiwen Chen

  • 1Department of Pediatric Thoracic and Cardiovascular Surgery, Xinhua Hospital, Shanghai Children's Medical Center, Shanghai Second Medical University, Shanghai, China.

The Annals of Thoracic Surgery
|April 6, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Gelatin-Based Multifunctional Hydrogels for Sports Injury Repair: Musculoskeletal and Nervous System Perspectives.

Gels (Basel, Switzerland)·2026
Same author

Association of noninvasive liver fibrosis scores with severity and outcomes among individuals with cardiovascular-kidney-metabolic syndrome: evidence from the NHANES 2005-2018.

BMC cardiovascular disorders·2026
Same author

Molecular Basis of Thermostability in a Novel Polygalacturonase <i>Ml</i>PG28A and Its Application in Producing Bioactive Oligogalacturonides for Sustainable Aquaculture.

Journal of agricultural and food chemistry·2026
Same author

Modulation of BK-like potassium currents by ketamine in rat cochlear outer hair cells.

Molecular brain·2026
Same author

Reply: Pulmonary venous remodeling takes center stage in model of group 2 pulmonary hypertension.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Effects of Exogenous Gibberellic Acid (GA<sub>3</sub>) on Nitrogen Contents and Electrophysiological Parameters in Soybean (<i>Glycine max</i> (Linn.) Merr.) Under Drought Conditions.

Plants (Basel, Switzerland)·2026
Same journal

Does prior percutaneous coronary revascularization negatively affect the outcomes of subsequent coronary artery bypass grafting?

The Annals of thoracic surgery·2026
Same journal

Lymph Node Dissection and Chylothorax - Balancing Oncologic Benefit Against Morbidity.

The Annals of thoracic surgery·2026
Same journal

Preserved Antegrade Pulmonary Blood Flow in Bidirectional Glenn: Outcomes and Considerations for Staged Palliation.

The Annals of thoracic surgery·2026
Same journal

Domo Arigato, Mr. Roboto.

The Annals of thoracic surgery·2026
Same journal

Impact of High SUVmax on Recurrence by Resection Strategy in Stage IA Adenocarcinoma ≤2 cm.

The Annals of thoracic surgery·2026
Same journal

Preoperative Treatment for Stage II NSCLC Requires Multidimensional Consideration.

The Annals of thoracic surgery·2026
See all related articles

Performing the bidirectional Glenn procedure without cardiopulmonary bypass is a viable option for complex cyanotic congenital heart defects. This technique eliminates cardiopulmonary bypass complications, improving postoperative recovery in carefully selected patients.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • The optimal method for performing the bidirectional Glenn procedure remains debated, particularly regarding cardiopulmonary bypass use.
  • This study addresses the indications and techniques for performing the bidirectional Glenn shunt without cardiopulmonary bypass.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of the bidirectional Glenn shunt performed without cardiopulmonary bypass.
  • To discuss the specific patient selection criteria for this surgical approach.

Main Methods:

  • Twenty patients (10 male, 10 female) with complex cyanotic congenital heart defects underwent the procedure.
  • Mean age was 2.7 years, mean weight 11.0 kg, with a mean preoperative oxygen saturation of 74.3%.

Related Experiment Videos

  • The surgery was performed without cardiopulmonary bypass, utilizing venoatrial or venopulmonary shunting.

    • Main Results:

    • All 20 patients survived the procedure.
    • Mean superior vena cava clamping time was 24.3 minutes with a mean vena cava pressure of 26.9 mm Hg.
    • No postoperative neurological complications were observed, and echocardiography confirmed unobstructed, functioning Glenn shunts.

    Conclusions:

    • Performing the bidirectional Glenn shunt without cardiopulmonary bypass effectively eliminates its associated adverse effects.
    • This approach offers significant advantages in postoperative recovery.
    • Strict patient selection is crucial for successful outcomes.