Bidirectional Glenn shunt in association with congenital heart repairs: the 112 ventricular repair Constantine Mavroudis, MD, Carl L Backer, MD, Lisa.

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Presentation transcript:

Bidirectional Glenn shunt in association with congenital heart repairs: the 112 ventricular repair Constantine Mavroudis, MD, Carl L Backer, MD, Lisa M Kohr, Barbara J Deal, MD, John Stinios, MD, Alexander J Muster, MD, David F Wax, MD The Annals of Thoracic Surgery Volume 68, Issue 3, Pages 976-981 (September 1999) DOI: 10.1016/S0003-4975(99)00562-7

Fig 1 (A) Diagram of heart anatomy and function in a patient who had an atriopulmonary Fontan operation for presumed dextrocardia and tricuspid atresia. She was later found to have dextrocardia, crisscross heart, tricuspid stenosis, ventricular septal defect, severe pulmonary artery stenosis, normally related great arteries, baffle stenosis, and cyanosis with atrial reentry tachycardia. (B) Diagram of repairs to patient in Figure 2 after conversion from Fontan operation to in-parallel bidirectional Glenn shunt (112 ventricular repair) and modified right-sided Maze operation [29]. The Annals of Thoracic Surgery 1999 68, 976-981DOI: (10.1016/S0003-4975(99)00562-7)

Fig 2 Diagrammatic representation of a patient with looped transposition of the great arteries, ventricular septal defect, and pulmonary stenosis who had ventricular septal defect closure, pulmonary valvulotomy, and in-parallel bidirectional Glenn shunt to volume unload the high pressure in the left ventricle (pulmonary ventricle). The Annals of Thoracic Surgery 1999 68, 976-981DOI: (10.1016/S0003-4975(99)00562-7)

Fig 3 Reconstructed function curve by inflow occlusion and volume loading in a patient with intact ventricular septum who had 112 ventricular repair for pulmonary stenosis. Graph shows cardiac output (CO) (aortic flow probe), inferior vena caval (IVC) flow (inferior vena caval flow probe), and superior vena caval (SVC) flow (aortic flow minus inferior vena caval flow), on the y-axis and right atrial pressure on the x-axis. The Annals of Thoracic Surgery 1999 68, 976-981DOI: (10.1016/S0003-4975(99)00562-7)