Utility of the Bidirectional Glenn Shunt

• Main Authors: Mark Nelson Awori, Mohammed Nabil Khan Mohamed, Ali Ahmed Mohamed
• Format: Article
• Language: English
• Published: Surgical Society of Kenya 2019-01-01
• Series: The Annals of African Surgery
• Subjects: cavopulmonary; glenn; shunt; bidirectional
• Online Access: https://www.annalsofafricansurgery.com/utility-of-the-bidirectional-glenn-

Background: Congenital heart disease (CHD) is a significant cause of childhood morbidity and mortality worldwide. Bi-directional Glenn Shunts (BDGS) form part of the surgical strategy used to treat CHD; no data exists on BDGS usage in the study locality. Methods: A 7-year retrospective, descriptive study was carried out at the Kenyatta National Hospital in Nairobi, Kenya, between 1 January 2006 and 31 December 2012. Results: Eleven BDGS were performed on 11 patients; 63.6% had tricuspid atresia, 27.3% had double outlet right ventricle and 9.1% had pulmonary atresia with intact ventricular septum. Conclusion: Further studies are warranted to identify factors contributing to the late performance of BDGS, poor post-operative follow-up and failure to perform FC.