Document Detail


Decompression of superior vena cava during bidirectional Glenn shunt.
MedLine Citation:
PMID:  19602741     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Venugopal Kulkarni; Ravikiran Mudunuri; Krishnaprasad Mulavisala; R Jagannath Byalal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of cardiac anaesthesia     Volume:  12     ISSN:  0974-5181     ISO Abbreviation:  Ann Card Anaesth     Publication Date:    2009 Jul-Dec
Date Detail:
Created Date:  2009-07-15     Completed Date:  2009-09-28     Revised Date:  2012-02-14    
Medline Journal Info:
Nlm Unique ID:  9815987     Medline TA:  Ann Card Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  146-8     Citation Subset:  IM    
Affiliation:
Department of Cardiac Anaesthesia, Care Hospital, Hyderabad, India. kulkarni4444@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, General
Arteriovenous Shunt, Surgical*
Cerebrovascular Circulation / physiology
Child, Preschool
Constriction
Decompression, Surgical*
Heart Defects, Congenital / surgery*
Humans
Male
Tricuspid Atresia / surgery
Vena Cava, Superior / surgery*
Comments/Corrections
Comment In:
Ann Card Anaesth. 2012 Jan;15(1):90-2; author reply 92   [PMID:  22234034 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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