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The bidirectional Glenn (BDG) shunt, or bidirectional cavopulmonary anastomosis, is a surgical technique used in pediatric cardiac surgery procedure used to temporarily improve blood oxygenation for patients with a congenital cardiac defect resulting in a single functional ventricle.
In cardiology, a cardiac shunt is a pattern of blood flow in the heart that deviates from the normal circuit of the circulatory system. It may be described as right-left , left-right or bidirectional, or as systemic-to-pulmonary or pulmonary-to-systemic .
The Blalock–Thomas–Taussig shunt (BTT shunt), [1] previously known as the Blalock–Taussig Shunt (BT shunt), [2] is a surgical procedure used to increase blood flow to the lungs in some forms of congenital heart disease [3] such as pulmonary atresia and tetralogy of Fallot, which are common causes of blue baby syndrome. [3]
Arrhythmias: Abnormal heart rhythms can occur due to the congenital defect or secondary to manipulation of cardiac tissue during surgery. [31] Shunt Obstruction: The shunt (mBTTs or Sano) placed during the Norwood procedure that re-establishes pulmonary circulation can become narrowed or obstructed, necessitating urgent intervention. [27]
The team later discovered the operation worked best in older children. Saxon herself could not have waited any longer. By the time the first shunt was attempted on her, she was in danger of dying. Eileen Saxon's surgery was re-enacted in the documentary Partners of the Heart, produced by Spark Media, and broadcast on American Experience in 2003 ...
The new operation not only directly saved thousands of lives, it marked the start of the modern era of cardiac surgery, as it was the first successful surgery on the human heart of the modern medical era. [1] [9] During his later years at Hopkins, Blalock continued his research on the heart and vascular surgery.
A Sano shunt is a shunt from the right ventricle to the pulmonary circulation. [1] [2] [3] In contrast to a Blalock–Taussig shunt, circulation is primarily in systole. [citation needed] It is sometimes used as the first step in a Norwood procedure. [citation needed] This procedure was pioneered by the Japanese cardiothoracic surgeon Shunji ...
It is also part of the surgical treatment path for hypoplastic left heart syndrome and hypoplastic right heart syndrome. [1] [2] [3] This procedure has been largely replaced by Bidirectional Glenn procedure. [citation needed] It connects the superior vena cava to the right pulmonary artery. [4
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