Conflict of interest: Nothing to report.
E-ONLY: Pediatric and Congenital Heart Disease
Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts†
Article first published online: 17 JUL 2013
Copyright © 2011 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 82, Issue 5, pages E688–E693, 1 November 2013
How to Cite
Ebeid, M. R. and Gaymes, C. H. (2013), Catheter conversion of classic glenn to bidirectional glenn with closure of left central shunt years after surgical attempts. Cathet. Cardiovasc. Intervent., 82: E688–E693. doi: 10.1002/ccd.23142
- Issue published online: 26 OCT 2013
- Article first published online: 17 JUL 2013
- Accepted manuscript online: 3 MAY 2011 02:15PM EST
- Manuscript Accepted: 19 MAR 2011
- Manuscript Received: 22 DEC 2010
- radio-frequency wire;
- complete occlusion;
- catheter intervention;
- single ventricle
Bidirectional Glenn shunt is usually performed in patients with single ventricle in preparation for a total cavo-pulmonary connection. We present a patient born with complex congenital heart disease consisting of single ventricle, pulmonary atresia, non confluent pulmonary arteries, and anomalous pulmonary venous return in whom surgical bidirectional Glenn was attempted. After multiple surgical attempts she was converted to a Classic Glenn and a central ascending aorta to left pulmonary artery shunt. Several years later by the aid of radiofrequency wire the occluded pulmonary artery segment was canalized establishing continuity between the two pulmonary artery branches with stenting of the intervening segment. The central shunt to the left pulmonary artery was subsequently embolized. Thus this patient was converted in the catheterization laboratory from the physiology of a classic Glenn to the more preferred bidirectional Glenn physiology. © 2011 Wiley Periodicals, Inc.