Bidirectional Glenn procedure treating pulmonary artery stenosis complicated with anomalous pulmonary venous drainage
Yang Xueyong
Liu Yinglong
Su Junwu
Jing Xiaoyong
Chen Zhe
Wang Zhiyi
Zhang Jing
Abstract：Objective To review the experience of superior vena cava-pulmonary artery shunt (bidirectional Glenn shunt) treating pulmonary artery stenosis complicated with anomalous pulmonary venous drainage.Methods Fourteen children with pulmonary artery stenosis complicated with anomalous pulmonary venous drainage undergoing bidirectional Glenn shunt from January 2012 to June 2017 in Beijing Anzhen Hospital,Capital Medical University were enrolled.Five children had extracorporeal circulation and simultaneous correction of total anomalous pulmonary venous drainage;9 children had operation without extracorporeal circulation.Results There was 1 death and the operative mortality was 7.1％ (1/14).There were 4 cases(28.6％) of postoperative complications:right pleural effusion occurred in 4 cases,including 1 case of chylothorax which recovered after conservative treatment.Postoperative oxygen saturation increased from (72 ± 10)％ to (91 ±4)％.Conclusion Although pulmonary stenosis complicated with anomalous pulmonary venous drainage is a high risk factor of bidirectional Glenn shunt,optimistic results can be achieved by appropriate surgical procedures.
Keywords：Congenital heart diseaseAnomalous pulmonary venous drainageBidirectional Glenn shunt
Publication Date：2017-12-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 1798-1800 )