Tags

Type your tag names separated by a space and hit enter

Venoatrial shunt-assisted cavopulmonary anastomosis.
Asian Cardiovasc Thorac Ann. 2010 Dec; 18(6):569-73.AC

Abstract

The bidirectional Glenn shunt operation is conventionally performed under cardiopulmonary bypass. Between June 2007 and September 2009, 218 consecutive patients underwent off-pump bidirectional Glenn shunt institution for single ventricle with pulmonary stenosis complex. Their mean age was 4.72 ± 1.80 years (range, 4 months to 6 years) and median weight was 10.12 kg (range, 4.1-19 kg). A temporary shunt was created between the innominate vein and the right atrium, with a 3-way connector for de-airing. Fifty-five patients had bilateral cavae. The mean internal jugular venous pressure on clamping the superior vena cava was 24.69 ± 1.81 mm Hg. Continuous end-tidal CO₂ and O₂ saturation were monitored. Adequate oxygen saturation and blood pressure were maintained by optimizing inotropics, volume, and inspired oxygen. The mean duration of ventilation was 10.17 ± 8.96 h (range, 1-73 h). There were no gross neurological complications. Postoperative pleural effusion developed in 6 (2.75%) patients, and 4 (1.83%) had nodal rhythm. Four (1.83%) patients died in the immediate postoperative period due to low cardiac output syndrome. Venoatrial shunt-assisted bidirectional Glenn shunt surgery can be performed safely by optimizing intraoperative management strategies. It is economical and avoids the deleterious effects cardiopulmonary bypass.

Authors+Show Affiliations

Department of Pediatric Cardiac Surgery, Innova Children's Heart Hospital, Tarnaka, Secunderabad, India. drpramodreddy@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21149407

Citation

Kandakure, Pramod Reddy, et al. "Venoatrial Shunt-assisted Cavopulmonary Anastomosis." Asian Cardiovascular & Thoracic Annals, vol. 18, no. 6, 2010, pp. 569-73.
Kandakure PR, Dharmapuram AK, Kale SB, et al. Venoatrial shunt-assisted cavopulmonary anastomosis. Asian Cardiovasc Thorac Ann. 2010;18(6):569-73.
Kandakure, P. R., Dharmapuram, A. K., Kale, S. B., Babu, V., Ramadoss, N., Rao, I. M., & Murthy, K. S. (2010). Venoatrial shunt-assisted cavopulmonary anastomosis. Asian Cardiovascular & Thoracic Annals, 18(6), 569-73. https://doi.org/10.1177/0218492310388459
Kandakure PR, et al. Venoatrial Shunt-assisted Cavopulmonary Anastomosis. Asian Cardiovasc Thorac Ann. 2010;18(6):569-73. PubMed PMID: 21149407.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Venoatrial shunt-assisted cavopulmonary anastomosis. AU - Kandakure,Pramod Reddy, AU - Dharmapuram,Anil Kumar, AU - Kale,Suresh Babu, AU - Babu,Vivek, AU - Ramadoss,Nagarajan, AU - Rao,Ivatury Mrityunjaya, AU - Murthy,Kona Samba, PY - 2010/12/15/entrez PY - 2010/12/15/pubmed PY - 2011/3/30/medline SP - 569 EP - 73 JF - Asian cardiovascular & thoracic annals JO - Asian Cardiovasc Thorac Ann VL - 18 IS - 6 N2 - The bidirectional Glenn shunt operation is conventionally performed under cardiopulmonary bypass. Between June 2007 and September 2009, 218 consecutive patients underwent off-pump bidirectional Glenn shunt institution for single ventricle with pulmonary stenosis complex. Their mean age was 4.72 ± 1.80 years (range, 4 months to 6 years) and median weight was 10.12 kg (range, 4.1-19 kg). A temporary shunt was created between the innominate vein and the right atrium, with a 3-way connector for de-airing. Fifty-five patients had bilateral cavae. The mean internal jugular venous pressure on clamping the superior vena cava was 24.69 ± 1.81 mm Hg. Continuous end-tidal CO₂ and O₂ saturation were monitored. Adequate oxygen saturation and blood pressure were maintained by optimizing inotropics, volume, and inspired oxygen. The mean duration of ventilation was 10.17 ± 8.96 h (range, 1-73 h). There were no gross neurological complications. Postoperative pleural effusion developed in 6 (2.75%) patients, and 4 (1.83%) had nodal rhythm. Four (1.83%) patients died in the immediate postoperative period due to low cardiac output syndrome. Venoatrial shunt-assisted bidirectional Glenn shunt surgery can be performed safely by optimizing intraoperative management strategies. It is economical and avoids the deleterious effects cardiopulmonary bypass. SN - 1816-5370 UR - https://www.unboundmedicine.com/medline/citation/21149407/Venoatrial_shunt_assisted_cavopulmonary_anastomosis_ L2 - http://journals.sagepub.com/doi/full/10.1177/0218492310388459?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -