Abstract
The bidirectional Glenn shunt improves systemic arterial oxygen saturation without increasing ventricular work or pulmonary vascular resistance (1).BDG is a commonly performed procedure for a variety of cyanotic congenital heart diseases that lead eventually to a single ventricle repair (2).It is an important intermediate palliation in patients with a structurally or functionally univentricular heart who are ultimately destined to have a Fontan-type operation (3). Avoidance of cardiopulmonary bypass (CPB) has the advantage of early extubation, less blood products, reduced requirement and duration of inotropic support (4).The end-to-side anastomosis of the superior vena cava (SVC) to the right or left pulmonary artery, which may be converted to a total cavopulmonary connection later, can effectively both increase arterial blood oxygen saturation of the patients and decrease volume overload of the ventricle (5)
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