An Alternative Technique of Performing the Bidirectional Superior Cavopulmonary Connection without Cardiopulmonary Bypass.

Sachin Talwar, Sandeep Chakraborty, Niwin George, Amitabh Satsangi, Akshaya Kumar Bisoi
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Abstract

There is an increasing trend of performing the bidirectional superior cavopulmonary anastomosis or bidirectional Glenn (BDG) without cardiopulmonary bypass (CPB). However, there are concerns of neurological dysfunction due to cerebral congestion and systemic oxygen desaturation due to clamping the superior vena cava and pulmonary artery, respectively, required for the off-pump anastomosis. In this report we present our alternative technique of performing the procedure without CPB in 13 patients. This technique may be a useful alternative in a select anatomic group of patients.

一种无需体外循环的双向上腔肺连接的替代技术。
不经体外循环(CPB)进行双向上腔肺吻合或双向Glenn (BDG)有增加的趋势。然而,存在脑充血引起的神经功能障碍和由于分别夹紧上腔静脉和肺动脉而引起的全身氧饱和度降低的担忧,这是非泵合吻合所必需的。在本报告中,我们介绍了我们的替代技术,执行过程中没有CPB的13例患者。这项技术可能是一个有用的选择,在一个特定的解剖组的病人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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