Bi-directional Glenn shunt in presence of anomalous pulmonary venous connection; modified Bi-directional Glenn shunt

Abstract

Bi-directional Glenn shunt is a common procedure in a patient with functional single ventricle on the way to Fontan completion. The procedure becomes challenging when there is an associated anomalous pulmonary venous connection to the superior vena cava. We describe an infant with an anomalous pulmonary venous connection high up in the superior venacava, which was managed surgically by performing an anastomosis between the superior venacava and pulmonary artery leaving the anomalous venous drainage intact. (Ind J Thorac Cardiovasc Surg, 2006; 22: 238-240)