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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.
Second operation: cavopulmonary anastomosis (hemi-Fontan or bidirectional Glenn) to provide stable pulmonary flow Final operation: Fontan procedure to redirect inferior vena cava and hepatic vein flow into the pulmonary circulation.
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]
The Fontan Kreutzer procedure is used in pediatric patients who possess only a single functional ventricle, either due to lack of a heart valve (e.g. tricuspid or mitral atresia), an abnormality of the pumping ability of the heart (e.g. hypoplastic left heart syndrome or hypoplastic right heart syndrome), or a complex congenital heart disease where a bi-ventricular repair is impossible or ...
Technically it is very similar to the bidirectional Glenn procedure used to direct half the body's venous blood flow into the lungs. However, in patients with interrupted IVC, most of the blood from the lower body actually joins the blood from the upper body before returning to the heart via the superior vena cava (SVC).
Various surgical techniques have been used, such as: (1) one-and-a-half ventricular repair alongside partial right ventriculectomy and bidirectional Glenn shunt; (2) right ventricular exclusion alongside atrial septectomy as well as a bidirectional Glenn shunt (superior cavopulmonary anastomosis); and (3) cardiac transplantation. [6]
Vein skeleton of a Hydrangea leaf showing anastomoses of veins. An anastomosis (/ ə ˌ n æ s t ə ˈ m oʊ s ɪ s /, pl.: anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams.
A conduit can be used to graft one or more native arteries. In the latter case, an end-to-side anastomosis is performed. In the former, using a sequential anastomosis, a graft can then deliver blood to two or more native vessels of the heart. [21] Also, the proximal part of a conduit can be anastomosed to the side of another conduit.