{"title":"一种无需体外循环的双向上腔肺连接的替代技术。","authors":"Sachin Talwar, Sandeep Chakraborty, Niwin George, Amitabh Satsangi, Akshaya Kumar Bisoi","doi":"10.1177/21501351251327215","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":94270,"journal":{"name":"World journal for pediatric & congenital heart surgery","volume":" ","pages":"537-542"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An Alternative Technique of Performing the Bidirectional Superior Cavopulmonary Connection without Cardiopulmonary Bypass.\",\"authors\":\"Sachin Talwar, Sandeep Chakraborty, Niwin George, Amitabh Satsangi, Akshaya Kumar Bisoi\",\"doi\":\"10.1177/21501351251327215\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":94270,\"journal\":{\"name\":\"World journal for pediatric & congenital heart surgery\",\"volume\":\" \",\"pages\":\"537-542\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World journal for pediatric & congenital heart surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/21501351251327215\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World journal for pediatric & congenital heart surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501351251327215","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/17 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
An Alternative Technique of Performing the Bidirectional Superior Cavopulmonary Connection without Cardiopulmonary Bypass.
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.