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Advanced Technical IVT

Glenn anastomosis

Pronunciation: GLEN an-as-to-MO-sis

Connection between superior vena cava and pulmonary artery as part of single-ventricle surgical palliation.

Full Definition

A surgical connection that directs venous return from the upper body directly to the pulmonary circulation, bypassing the heart. The bidirectional Glenn connects the superior vena cava to the right pulmonary artery while maintaining flow to both lungs. This procedure is typically the second stage in single-ventricle palliation (after Norwood) and precedes the Fontan completion. The Glenn reduces volume load on the single ventricle while maintaining adequate pulmonary blood flow and oxygenation.

Usage

Usage note: Named after William Glenn; capitalize as proper noun. Specify bidirectional vs. classic Glenn.

In Context

  • "The patient underwent Glenn anastomosis at six months following the Norwood procedure." — staged palliation note
  • "Post-Glenn catheterization showed excellent pulmonary artery pressures." — follow-up assessment

Also known as

bidirectional Glenn cavopulmonary connection

Don't confuse with

Fontan anastomosis BT shunt

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