Palliative Systemic-to-Pulmonary Shunt

Palliative Systemic-to-Pulmonary Shunt

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Palliative Systemic-to-Pulmonary Shunt

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SVC to ipsilateral PA Shunt is

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[A] Glenn shunt
[B] Blalock-Taussig-Thomas shunt
[C] Potts shunt
[D] Waterston shunt

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Glenn shunt – Palliative Systemic-to-Pulmonary Shunt

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Palliative Systemic-to-Pulmonary Shunt

1. Palliative Systemic-to-Pulmonary Shunt
2. How Glen Shunt is useful – systemic venous return is re-directed to the pulmonary circulation, by passing the right heart
3. Classic Glenn shunt is anastomosis of the end of the superior vena cava (SVC) to the side of the right PA

Bidirectional Glenn

Bidirectional Glenn and hemi-Fontan are surgical techniques used to create superior cavopulmonary anastomosis, the second stage repair in Fontan completion.

Common indications for a bidirectional Glenn or hemi-Fontan

Common indications for a bidirectional Glenn or hemi-Fontan include

1. Hypoplastic left heart syndrome (HLHS)
2. Tricuspid atresia
3. Double inlet left or right ventricle
4. Pulmonary atresia with an intact ventricular septum
5. Unbalanced atrioventricular canal defects
6. Congenitally corrected transposition of the great arteries

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