Superior vena cava syndrome after pulsatile bidirectional Glenn shunt procedure: perioperative implications.
Ann Card Anaesth
;
2009 Jan-Jun; 12(1): 53-6
Artigo
em Inglês
| IMSEAR
| ID: sea-1646
ABSTRACT
Bidirectional superior cavopulmonary shunt (bidirectional Glenn shunt) is generally performed in many congenital cardiac anomalies where complete two ventricle circulations cannot be easily achieved. The advantages of BDG shunt are achieved by partially separating the pulmonary and systemic venous circuits, and include reduced ventricular preload and long-term preservation of myocardium. The benefits of additional pulsatile pulmonary blood flow include the potential growth of pulmonary arteries, possible improvement in arterial oxygen saturation, and possible prevention of development of pulmonary arteriovenous malformations. However, increase in the systemic venous pressure after BDG with additional pulsatile blood flow is known. We describe the peri-operative implications of severe flow reversal in the superior vena cava after pulsatile BDG shunt construction in a child who presented for surgical interruption of the main pulmonary artery.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Respiração Artificial
/
Fluxo Pulsátil
/
Síndrome da Veia Cava Superior
/
Humanos
/
Masculino
/
Fatores de Risco
/
Resultado do Tratamento
/
Derivação Cardíaca Direita
/
Hemodinâmica
/
Lactente
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Idioma:
Inglês
Revista:
Ann Card Anaesth
Ano de publicação:
2009
Tipo de documento:
Artigo
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