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Professional Technical IVT

bidirectional Glenn

Palliative cardiac surgery connecting the superior vena cava directly to the pulmonary arteries.

Full Definition

The bidirectional Glenn procedure, also known as the bidirectional cavopulmonary anastomosis, is a palliative cardiac surgery performed as an intermediate stage in single ventricle heart disease management. The operation involves dividing the superior vena cava and connecting it end-to-side to the right pulmonary artery, allowing venous blood from the upper body to flow passively to both lungs. This procedure typically serves as a bridge between initial palliation and eventual Fontan completion.

Usage

Usage note: Distinguish from 'classic Glenn' which connects SVC to right PA only; 'bidirectional' indicates flow to both PAs.

In Context

  • "The patient underwent bidirectional Glenn at six months of age for hypoplastic left heart syndrome." — Surgical history
  • "Oxygen saturation improved to 85% following the bidirectional Glenn procedure." — Postoperative note

Also known as

bidirectional cavopulmonary anastomosis BDCPA

Don't confuse with

classic Glenn hemi-Fontan

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