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

The bidirectional cavopulmonary shunt.

J J Lamberti1, R L Spicer, J D Waldman

  • 1Division of Cardiology, Children's Hospital and Health Center, San Diego, Calif.

The Journal of Thoracic and Cardiovascular Surgery
|July 1, 1990
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

Beyond vasopressor support: VA-ECMO for refractory calcium channel blocker overdose.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2025
Same author

A roadmap for kidney health for South Africa in the context of universal health coverage.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2025
Same author

The state of paediatric deceased-organ donation at a South African tertiary public- sector hospital: A 14-year analysis.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2024
Same author

Kidney transplant utilising donors after circulatory death: The first report from the African continent.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2024
Same author

Insights into a collective impact partnership to promote consumption of healthy drinks in North East Melbourne: A qualitative case study.

Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals·2024
Same author

Bridging hope: South Africa's ECMO reporting journey begins.

African journal of thoracic and critical care medicine·2024
Same journal

Undersized Fontan conduits are not without risk.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Predicting high-risk recipients or high-risk donation after circulatory death hearts?

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Outcomes of donation after circulatory death heart transplantation in recipients with pulmonary hypertension.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Reply: Pregnancy-related type A aortic dissection: Expand raw data or refine statistical methodology?

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Extending the age cutoff: Outcomes of the Ross procedure in patients older than 60 years. A two-center retrospective study from the Canadian Ross Registry.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

From High-Risk Fetal Heart Disease to Personalized Life-Long Management: Equity, Globalization and Regionalization in the Era of Artificial Intelligence.

The Journal of thoracic and cardiovascular surgery·2026
See all related articles

The bidirectional cavopulmonary shunt is a successful palliative procedure for complex heart conditions, improving oxygen saturation. It offers good to excellent long-term outcomes for many patients awaiting further surgical intervention.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery
  • Cardiovascular Physiology

Background:

  • The bidirectional cavopulmonary shunt (BCPS) is a surgical technique used in managing complex congenital heart disease.
  • It aims to improve systemic arterial oxygen saturation without adversely affecting ventricular function or pulmonary vascular resistance.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the bidirectional cavopulmonary shunt procedure in pediatric patients.
  • To assess the shunt's role as a palliative measure and its impact on subsequent Fontan procedures.

Main Methods:

  • Retrospective analysis of 17 patients who underwent bidirectional cavopulmonary shunt (BCPS) between 1983 and the study period.
  • Patients had diagnoses including single ventricle complex, hypoplastic right heart syndrome, and hypoplastic left ventricle.

Related Experiment Videos

  • Procedures were performed with or without cardiopulmonary bypass, often with concomitant cardiac repairs.

    • Main Results:

    • The BCPS procedure resulted in a significant increase in mean arterial oxygen saturation from 69% to 83%.
    • Twelve out of 16 patients achieved good to excellent late results.
    • One operative death and three late deaths were reported, with causes including pulmonary vascular disease and pneumonia.

    Conclusions:

    • The bidirectional cavopulmonary shunt is an effective palliative option for complex single-ventricle physiology, especially when immediate Fontan completion is not feasible.
    • The BCPS facilitates subsequent staged palliation, optimizing outcomes for Fontan conversion.
    • The procedure demonstrates favorable long-term results and improves oxygenation in carefully selected pediatric cardiac patients.