A Modified Technique of Venoatrial Bypass in Bidirectional Glenn Shunt
| Autor: | Tek Singh Mahant, Manisha Lal |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Venous pressure business.industry Glenn shunt Modified technique Central venous pressure Peristaltic pump General Medicine law.invention Surgery Blood pressure law Superior vena cava Internal medicine cardiovascular system Cardiopulmonary bypass medicine Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 4:23-24 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849239600400105 |
| Popis: | Clamping of the superior vena cava, while constructing a bidirectional Glenn shunt in patients with a single superior vena cava, may lead to an unacceptable rise in proximal venous pressure. Between January 1993 and March 1994, 7 patients underwent bidirectional Glenn shunt at our institution. Of these 7, 4 had a single superior vena cava and required venoatrial bypass. This was carried out with interposition of a roller pump. Central venous pressure was maintained at 13 to 30 mm Hg (mean 23.5 mm Hg) and arterial pressure at 60 to 74 mm Hg (mean 64 mm Hg). Postoperatively, no facial edema or neuropsychological disturbance was detected. This modified method is more effective than simple venoatrial bypass and less extensive than a cardiopulmonary bypass. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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