1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Bidirectional Glenn?
Bidirectional Glenn is a surgical treatment or hemi-Fontan procedureused for children who do not have two pumping chambers of the heart. This can be caused by many different diagnoses which all result in a single ventricle. These conditions include:
The bidirectional Glenn procedure directs the blood flow from the upper body veins directly to the lungs rather than the heart pumping the blood to the lungs first. The bidirectional Glenn shunt redirects blood flow from the upper body veins and is often performed prior to having a Fontan procedure. The Fontan procedure completes the change in path by directing the blood flow from the lower body veins to the lungs.
The Glenn procedure redirects blood flow from the upper body to the lungs. In the Glenn procedure:
The superior vena cava (SVC) (which brings blood back from the upper part of the body) is disconnected from the heart and connected directly to the pulmonary artery.
The shunt placed during the Norwood procedure is removed.
Blood from the upper body now goes to the pulmonary artery, and then to the lungs, without having to go to the heart. Because blood can now get to the lungs, the shunt is no longer needed. Also, the right ventricle now has a single job: pumping blood to the body.
Babies who have the Glenn procedure usually spend 1 to 2 weeks in the hospital to recover. They also get medicines to help the heart and improve blood flow.
Volume load to the heart
Shunt restenosis or thrombosis
Endocarditis, and facial or arm swelling due to a malfunction of the anastomosis
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The large vein that brings blue blood back from the upper body called the superior vena cava is sewn into the blood vessel that takes blood to the lungs. Blood coming back from the upper body now flows directly to the lungs without going through the heart.
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