Off-pump bidirectional Glenn through right anterior thoracotomy.

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiology
• Congenital Heart Disease

Background:

• The Glenn operation is a palliative surgical procedure for cyanotic congenital heart diseases, including single ventricle physiology.
• The classic Glenn procedure utilizes median sternotomy and cardiopulmonary bypass.
• The benefits of performing the Glenn operation without cardiopulmonary bypass remain a subject of mixed reports in existing literature.

Observation:

• This study investigates the application of the Glenn operation using an off-pump technique.
• The research focuses on the use of this combined approach in Latin America.
• Cases combining the Glenn operation with an off-pump technique in Latin America have not been previously documented in scientific literature.

Findings:

• The study examines the outcomes and feasibility of the Glenn operation performed without cardiopulmonary bypass in the Latin American context.
• Analysis of cases using the off-pump technique for the Glenn procedure in this region is presented.
• This represents the first report of the Glenn operation combined with an off-pump technique in Latin America.

Implications:

• This research may provide valuable insights into alternative surgical strategies for congenital heart defects in resource-limited settings.
• The findings could encourage further investigation into the benefits and challenges of off-pump Glenn operations globally.
• This study contributes to the scientific literature by documenting a novel application of a known surgical procedure in a specific geographic region.