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An Alternative Technique of Off-Pump Glenn Procedure
Rupesh Kumar1, Parag W Barwad2, Banashree Mandal3
129751 Department of Cardiothoracic and Vascular Surgery, Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Innovations (Philadelphia, Pa.)
|September 1, 2020
Summary
The bidirectional Glenn surgery offers a life-saving palliative option for single-ventricle heart defects. A novel technique demonstrates effectiveness, reduced morbidity, and improved safety, making it a viable option for pediatric patients.
Area of Science:
- Pediatric Cardiac Surgery
- Congenital Heart Disease
- Palliative Cardiac Procedures
Background:
- Univentricular heart physiology presents complex surgical challenges.
- The bidirectional Glenn procedure is a critical palliative surgery.
- Current techniques involve cardiopulmonary bypass (CPB) or off-pump methods.
Observation:
- A new, innovative technique for bidirectional Glenn surgery was developed.
- The technique was applied to six pediatric patients aged 2 to 18 years.
- Patients were monitored over a follow-up period of several months.
Findings:
- The innovative technique proved effective in palliative care.
- It demonstrated reduced morbidity compared to standard procedures.
- The method was found to be simple, safe, economically viable, and reproducible.
Implications:
- This technique offers a potentially superior alternative for bidirectional Glenn surgery.
- It may improve outcomes and reduce healthcare costs for single-ventricle patients.
- Further research could establish this technique as a new standard of care.
