الفهرس 
Title : Early Outcomes of Glenn shunt in patients aged 3 to 6 months vs. above 6 months
ContentsOnly 14 pages are availabe for public view
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Abstract
Univentricular atrioventricular connection affects approximately 3 % of
infants born with congenital heart disease. Early palliative procedure for such infants is mandatory with the goal to relief cyanosis, prevent damage to ventricular
functions and pulmonary vasculature, and facilitate future definitive repair by
preserving physiologic parameters. The cavopulmonary shunt (superior vena cava
to the right pulmonary artery) provides partial physiological correction for those
infants. Its main advantage is to provide obligatory pulmonary blood flow, and avoid left ventricular volume overload accompanying systemic-to-pulmonary artery shunt.
(2)
There have been numerous studies looking at the timing of the BDG procedure,
with many highlighting the potential benefits of performing an ‘‘early’’ BDG
procedure. These include removing a volume load from the single ventricle that can benefit atrioventricular (AV) valve insufficiency and perhaps improve longterm
diastolic function, decreasing the effective cardiac output required from the single ventricle, avoiding potential pulmonary tree distortions seen with systemic to pulmonary shunts, and perhaps preventing the development