Villagrá F, Gómez R, Ignacio Herraiz J, Larraya F G, Moreno L, Sarrais P
Servicio de Cirugía Cardíaca y Cardiología Infantil. Clínica de la Zarzuela. Madrid.
Rev Esp Cardiol. 2000 Oct;53(10):1406-9. doi: 10.1016/s0300-8932(00)75250-x.
The bidirectional cavopulmonary (Glenn) shunt is almost a routine first step procedure for total cavopulmonary connection in children with single-ventricle cardiac anomalies. It is usually performed with cardiopulmonary bypass, of which adverse effects can be especially deleterious in these cardiac conditions. To avoid these adverse effects, we performed the cavopulmonary shunt in 5 children through sternotomy without cardiopulmonary bypass. There was no mortality nor morbidity. We think that this technique is safe, reproducible, and even advisable in children with single-ventricle anomalies.
