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Right arrow Congenital - cyanotic
Asian Cardiovasc Thorac Ann 2001;9:138-141
© 2001 Asia Publishing EXchange Pte Ltd


CASE STUDY

Palliative Bilateral Unidirectional Glenn Shunts

Kalpesh Satishkumar Malik, MS, Praveen Kumar Neema, MD1,, Sivasubramaniam Sivasankaran, DM2,, Soman Rema Krishna Manohar, MCh

Department of Cardiovascular and Thoracic Surgery
1 Department of Anesthesiology
2 Department of Cardiology
Sree Chitra Tirunal Institute of Medical Sciences & Technology
Thiruvananthapuram, Kerala, India
For reprint information contact: Soman Rema Krishna Manohar, MCh Tel: 91 471 52 4648 Fax: 91 471 44 6433 email: manohar{at}sctimst.ker.nic.in Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute of Medical Sciences & Technology, Thiruvananthapuram, Kerala 695011, India.
A Fontan operation was planned for a 5-year-old girl with complex cyanotic heart disease and bilateral superior venae cavae. The unexpected finding of total anomalous pulmonary venous connection to the left superior vena cava led to a change of strategy. During a bilateral bidirectional Glenn procedure, the pulmonary confluence had to be disconnected to avoid pulmonary venous obstruction. This resulted in bilateral unidirectional cavopulmonary flow.







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