Novel technique for off pump bidirectional glenn shunt -safety issues- a case report

A new technique to decompress the superior vena cava [SVC] during off pump bi-directional Glenn [BDG] shunts is described. Cerebral protection maneuvers and the safety concerns of the technique are addressed

Off-pump bidirectional Glenn shunt by active decompression of the superior vena cava.

We report 2 cases of infants in whom off-pump bidirectional Glenn shunts were performed. A technique of decompressing the superior vena cava by active manual aspiration has been described. The challenges of maintaning the hemodynamic status, and cerebral protection maneuvers in association with mild hypothermia and a high transcranial pressure have been highlighted.