Cavopulmonary anastomosis without cardiopulmonary bypass†

Mostafa, Ezzeldin A.; Midany, Ashraf A.H. El; Zalat, Mahmoud; Helmy, Ahmed

doi:10.1093/icvts/ivs518

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…In our study only 7.8% of our patients had undergone previous surgeries while it was higher in other studies by Talwar et al 8 (15.3%), Reddy et al 11 (62%), Mostafa et al 20 (16%) Hussain et al 14 (32.4%) and Alsoufi et al 9 (81%). Only one of our patients underwent Pulmonary Artery banding.…”

Section: Discussioncontrasting

confidence: 57%

“…The early hospital mortality in our study group is 10.4%. The hospital mortality rates varies from 0% to 33% in various studies reported by Tanoue et al 22 (0.9%), Liu et al 12 (0%), Mostafa EA et al 20 (4%), Reddy Kandakure et al 16 (2.14%), Warrier et al (3.6%), Tireli et al 33 (3.3%), Lapar et al 7 (0.9%), Kogon et al 10 (2%), Jaquiss et al 36 (0%), Reddy et al 11 (4.8%), Talwar et al 8 (1.86%), Deebis et al 13 (7.4% in the CPB group, 10.5% in the non‐CPB group) and Azzolina et al 9 (33%).…”

Section: Discussionmentioning

confidence: 92%

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Early outcomes after the on pump bidirectional Glenn procedure: A single center experience

Naik

Srivastava

Arsiwala

et al. 2021

Journal of Cardiac Surgery

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Objective Bidirectional Glenn procedure is a staged palliative procedure for patients with the univentricular hearts or complex congenital heart disease. We in our study, attempted to evaluate the preoperative characteristics, operative data and the early postoperative outcomes in the patients who underwent Bidirectional Glenn procedure at our center. Methods In our single center retrospective experience, 115 patients underwent Bidirectional Glenn procedure from January 2015 to December 2019. Results The mean age of the patients was 6.55 ± 6.5 years (range from 9 months to 48 years) and a median of 5 years. The most common anatomic diagnosis was double outlet right ventricle (n = 49, 42.6%). The primary diagnosis and the additional cardiac anamolies were not associated with the adverse outcomes. The increased cardiopulmonary bypass and operative time affect the postoperative outcomes. The median oxygen saturation in the patients postoperatively was 82%. The median postoperative stay was 8 days. The early postoperative complications were seen in 29 patients (25.2%). There were 12 early deaths (10.4%) in our study. The late age of presentation and poor preoperative nutrition, increased the risk of the postoperative morbidity and mortality. Conclusion Bidirectional Glenn procedure is an effective procedure to improve efficacy of the gas exchange and reduce volume overload on the single ventricle at early as well as late stages. However, the late age of presentation increases the risk of the postoperative outcomes.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 92%

Early outcomes after the on pump bidirectional Glenn procedure: A single center experience

Naik

Srivastava

Arsiwala

et al. 2021

Journal of Cardiac Surgery

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“…The mean internal venous pressure on clamping the superior vena cava was 37.07 ± 7.12 mmHg in the non‐shunt group and 24 ± 4.4 mmHg in the shunt group. There were no major neurological complications apart from treatable convulsions in one patient in the non‐shunt group and two patients in the shunt group …”

Section: Discussionmentioning

confidence: 93%

“…The authors did not find any significant differences in the postoperative parameters in both groups. Recently, Mostafa et al prospectively compared off‐CPB BDG with and without a veno‐atrial shunt. The early hospital mortality was 4% in each group.…”

Section: Discussionmentioning

confidence: 99%

Bidirectional superior cavopulmonary anastomosis with or without cardiopulmonary bypass: A randomized study

et al. 2017

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“…Occlusion of the SVC without a temporary shunt can lead to decreased cerebral blood flow and risks injury to the brain. 6–8 Intra-cranial or orbital hematomas have not been previously reported in BCPS performed with SVC clamping. The physiology and duration in our patient are similar to a BCPS performed with clamping of the SVC.…”

Section: Discussionmentioning

confidence: 95%

Subperiosteal Orbital Hematoma From SVC Occlusion During Cardiac Surgery: To See or Not to See

Patukale

Shetty

Marathe

et al. 2021

World J Pediatr Congenit Heart Surg

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We present a case in which the superior vena cava (SVC) cannula was inadvertently clamped for a short while during cardiopulmonary bypass, completely occluding SVC drainage. This resulted in a rarely seen complication – bilateral subperiosteal orbital hematomas causing orbital compartment syndrome. Other instances of intentional SVC occlusion include during the creation of a bidirectional cavo-pulmonary shunt and for emergency control of bleeding during thoracic surgery.

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Cavopulmonary anastomosis without cardiopulmonary bypass†

Abstract: Off-pump bidirectional Glenn operation without caval decompression is a safe, simple and more economic procedure.

Cited by 7 publications

References 17 publications

Early outcomes after the on pump bidirectional Glenn procedure: A single center experience

Early outcomes after the on pump bidirectional Glenn procedure: A single center experience

Bidirectional superior cavopulmonary anastomosis with or without cardiopulmonary bypass: A randomized study

Subperiosteal Orbital Hematoma From SVC Occlusion During Cardiac Surgery: To See or Not to See

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