Neema, Praveen KumarSethuraman, ManikandanKrishnamanohar, S RRathod, Ramesh Chandra2009-01-132009-05-272009-01-132009-05-272009-01-13Neema PK, Sethuraman M, Krishnamanohar SR, Rathod RC. Superior vena cava syndrome after pulsatile bidirectional Glenn shunt procedure: perioperative implications. Annals of Cardiac Anaesthesia. 2009 Jan-Jun; 12(1): 53-6http://imsear.searo.who.int/handle/123456789/1646Bidirectional superior cavopulmonary shunt (bidirectional Glenn shunt) is generally performed in many congenital cardiac anomalies where complete two ventricle circulations cannot be easily achieved. The advantages of BDG shunt are achieved by partially separating the pulmonary and systemic venous circuits, and include reduced ventricular preload and long-term preservation of myocardium. The benefits of additional pulsatile pulmonary blood flow include the potential growth of pulmonary arteries, possible improvement in arterial oxygen saturation, and possible prevention of development of pulmonary arteriovenous malformations. However, increase in the systemic venous pressure after BDG with additional pulsatile blood flow is known. We describe the peri-operative implications of severe flow reversal in the superior vena cava after pulsatile BDG shunt construction in a child who presented for surgical interruption of the main pulmonary artery.engAnesthesia, General --methodsHeart Bypass, Right --adverse effectsHemodynamicsHumansInfantIntraoperative Complications --etiologyIntubation, Intratracheal --adverse effectsMalePulsatile FlowRespiration, Artificial --methodsRisk FactorsSuperior Vena Cava Syndrome --etiologyTreatment OutcomeCase Reports