• Indian heart journal · Nov 2003

    Case Reports

    Off-pump bidirectional Glenn shunt by active decompression of the superior vena cava.

    • Madan Mohan Maddali, Mathew Mathew, Jutta Fahr, and John Valliattu.
    • Department of Anesthesia, Royal Hospital, Muscat, Sultanate of Oman. madan@omantel.net.om
    • Indian Heart J. 2003 Nov 1;55(6):649-51.

    AbstractWe report 2 cases of infants in whom off-pump bidirectional Glenn shunts were performed. A technique of decompressing the superior vena cava by active manual aspiration has been described. The challenges of maintaning the hemodynamic status, and cerebral protection maneuvers in association with mild hypothermia and a high transcranial pressure have been highlighted.

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