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Updated: Nov 11, 2025

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
A cardiopulmonary bypass strategy to support a patient with vein of Galen malformation
Alex Robertson1, Nagarajan Muthialu2, Mike Broadhead3
1Department of Perfusion, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Abstract:
We present a dissection of the patent ductus arteriosus and pulmonary artery for surgical repair utilising cardiopulmonary bypass in the setting of vein of Galen malformation. Several strategies were employed to attenuate the cerebral shunt including pH-stat, high cardiac index, restrictive venous drainage, continuous ventilation and deep hypothermic circulatory arrest. The patient recovered from surgery with no apparent neurological sequelae.

