Superior Vena Cava Banding to Facilitate Unilateral Bidirectional Glenn Operation in Patients With Single Ventricle Heart Disease and Bilateral Superior Caval Veins
Restricted accessResearch articleFirst published online March, 2017
Superior Vena Cava Banding to Facilitate Unilateral Bidirectional Glenn Operation in Patients With Single Ventricle Heart Disease and Bilateral Superior Caval Veins
Staged palliation to achieve a total cavopulmonary connection is a common treatment strategy in patients with single ventricle congenital heart disease. Patients with bilateral superior caval veins (bilateral SVC) often require the creation of bilateral superior cavopulmonary connections as part of the staged palliation, and these patients are at increased risk of morbidity. We describe a novel technique used in two patients with bilateral SVC and very small (1-2 mm) bridging vein that encouraged bridging vein growth and facilitated creation of a unilateral superior cavopulmonary connection.
IyerGKVan ArsdellGSDickeFPMcCrindleBWColesJGWilliamsWG. Are bilateral superior vena cavae a risk factor for single ventricle palliation?Ann Thorac Surg. 2000;70(3):711–716.
2.
ForbesTJRosenthalGLReulGRJrOttDAFeltesTF. Risk factors for life-threatening cavopulmonary thrombosis in patients undergoing bidirectional superior cavopulmonary shunt: an exploratory study. Am Heart J. 1997;134(5 pt 1):865–871.
3.
de ZelicourtDAPekkanKParksJKanterKFogelMYoganathanAP. Flow study of an extracardiac connection with persistent left superior vena cava. J Thorac Cardiovasc Surg. 2006;131(4):785–791.
4.
NakanishiKKawasakiSTakahashiKAmanoA. A new technique for venous unifocalization of the bilateral superior vena cava with the Glenn procedure. J Thorac Cardiovasc Surg. 2014;148(1):356–358.
5.
VidaVLLeon-WyssJGarciaFCastanedaAR. A Gore-Tex ‘new-innominate’ vein: a surgical option for complicated bilateral cavopulmonary shunts. Eur J Cardiothorac Surg. 2006;29(1):112–113.
