Maddali, Madan MohanMathew, MathewFahr, JuttaValliattu, John2003-11-032009-05-272003-11-032009-05-272003-11-03Maddali MM, Mathew M, Fahr J, Valliattu J. Off-pump bidirectional Glenn shunt by active decompression of the superior vena cava. Indian Heart Journal. 2003 Nov-Dec; 55(6): 649-51http://imsear.searo.who.int/handle/123456789/4235We report 2 cases of infants in whom off-pump bidirectional Glenn shunts were performed. A technique of decompressing the superior vena cava by active manual aspiration has been described. The challenges of maintaning the hemodynamic status, and cerebral protection maneuvers in association with mild hypothermia and a high transcranial pressure have been highlighted.engAnastomosis, SurgicalArteriovenous Shunt, Surgical --methodsDecompression, SurgicalHeart Defects, Congenital --surgeryHemodynamicsHumansInfantVena Cava, Superior --physiologyCase Reports