Open AccessDecompression of superior vena cava during bidirectional Glenn shunt
Author(s) -
K. Venugopal,
Ravikiran Mudunuri,
Krishnaprasad Mulavisala,
R Jagannath Byalal
Publication year - 2009
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.53447
Subject(s) - medicine , decompression , shunt (medical) , surgery , vena cava , superior vena cava
Patients undergoing bi-directional Glenn shunt for various congenital anomalies of the heart will have their superior vena cava (SVC) clamped during the procedure. The duration of the procedure is variable, ranging from five to 30 minutes. This can affect the cerebral perfusion due to raised venous pressure [Cerebral blood flow = Mean arterial pressure-(Intracranial pressure + Central venous pressure)]. Shunting away the SVC blood is a well known technique to counter this problem, but we describe two cases where a novel technique was successfully used to decompress the SVC.