Key result
Bidirectional Glenn shunt offloads the right ventricle in a pediatric patient with an RV tumor.
Why the study?
Performing a bidirectional Glenn shunt to offload the right ventricle in an acyanotic pediatric patient with an RV tumor had not been previously reported.
Case Report (n=1)
This case report describes a novel application of the Bidirectional Glenn shunt to offload the right ventricle in a pediatric patient with a right ventricular tumor.
Answers are grounded in this paper and cite their sources.
May allow RV offloading in rare acyanotic pediatric tumors; leaves open need for validation and outcomes data.
Cardiac rhabdomyoma is the most common benign pediatric cardiac tumor. 1 Frequently, they are associated with tuberous sclerosis, an autosomal disorder resulting in hamartomatous lesions inside the brain, heart, lungs, and kidneys. Bidirectional Glenn (BDG) shunt is a type of palliative procedure done in infants and the pediatric age group, which drains blood from the superior vena cava (SVC) into the pulmonary circulation, especially in univentricular physiology, 2 to improve oxygenation. Here, we present an interesting case of an acyanotic pediatric patient presenting with a right ventricular (RV) tumor, in which the BDG was performed to offload the RV, which was not reported previously in the literature. Written consent for the publication of this case was obtained from the patient's relatives. Also, the authors were directly involved in the perioperative care of the patient.
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Gadhinglajkar et al. (2023) conducted a case report in Right ventricular tumor (n=1). Bidirectional Glenn (BDG) shunt was evaluated on Offloading the right ventricle. A Bidirectional Glenn shunt was performed to offload the right ventricle in an acyanotic pediatric patient presenting with a right ventricular tumor.
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