Phẫu thuật Glenn hai hướng ở bệnh nhân có hai tĩnh mạch chủ trên: có gì mới về kỹ thuật làm miệng nối

Nguyen Tran Thuy , Vu Xuan Quang , Doan Quoc Hung , Le Ngoc Thanh

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Abstract

We propose a new surgical technique to manage the presence of bilateral superior vena cava in single ventricle patients, a recognized risk factor for both bidirectional Glenn anastomosis and Fontan completion. The idea is to convert two small, peripheral and competing bilateral bidirectional cavopulmonary anastomoses into a single, larger, and centrally located cavopulmonary connection. This technique, used in 2 patients in our institution, provides a symmetrical distribution of pulmonary blood flow and may, in fact, yield growth of the central pulmonary arteries as well as prevent thrombus formation.

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References

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