An Alternative Technique of Performing the Bidirectional Superior Cavopulmonary Connection without Cardiopulmonary...

Area of Science:

• Cardiovascular Surgery
• Pediatric Cardiac Surgery
• Congenital Heart Disease

Background:

• The bidirectional Glenn (BDG) procedure is increasingly performed without cardiopulmonary bypass (CPB).
• Concerns exist regarding neurological dysfunction (cerebral congestion) and systemic oxygen desaturation during off-pump BDG due to vessel clamping.
• These complications necessitate exploring alternative surgical techniques.

Purpose of the Study:

• To present an alternative surgical technique for performing the bidirectional Glenn (BDG) procedure without cardiopulmonary bypass (CPB).
• To evaluate the feasibility and potential benefits of this novel off-pump approach.

Main Methods:

• A modified surgical technique for off-pump bidirectional Glenn (BDG) anastomosis was developed and applied.
• The procedure was performed on a cohort of 13 patients.
• Key surgical steps and intraoperative management were recorded.

Main Results:

• The alternative off-pump technique was successfully implemented in 13 patients.
• The study aimed to mitigate risks associated with CPB and vessel clamping during BDG.
• Specific outcomes regarding neurological function and oxygen saturation were observed (details not provided in abstract).

Conclusions:

• The presented alternative technique for off-pump bidirectional Glenn (BDG) may be a viable option.
• This approach could be particularly useful for a select group of patients with specific anatomical considerations.
• Further research is warranted to fully establish the safety and efficacy of this technique.