caa a22 4500 388115548 CHVBK 20180307125405.0 cr unu---uuuuu 161130e199905 xx s 000 0 eng 10.1017/S1047951100004911 doi S1047951100004911 pii (NATIONALLICENCE)cambridge-10.1017/S1047951100004911 Experience with the Glenn anastomosis in the adult with cyanotic congenital heart disease [Elektronische Daten] A clinical study on the outcomes of Glenn anastomoses performed since 1987 in eight consecutive patients aged ≥16 years, and in two performed earlier, showed poor results. One badly selected patient died early as a consequence of high venous pressure, while a further seven had early complications. Seven of eight hospital survivors were followed for 1-10 (median 4.2) years with two deaths (1 and 4 years later). Of the remaining five patients, two improved temporarily, but increased arterial oxygen saturation was not maintained after 6 months. The two patients who had undergone a Glenn anastomosis 10 and 34 years earlier were shown to have pulmonary arteriovenous fistulas. The Glenn anastomosis in these older patients is associated with high rates of complication and appears not to give adequate palliation, particularly when it is the only source of pulmonary blood supply. In the adult, the Glenn anastomosis can be used as a staging procedure for Fontan-type surgery, but must be combined with another source of pulmonary arterial supply. Any adult having a Glenn anastomosis, particularly without another source of pulmonary arterial supply, should be warned of the possibility of worsening of cyanosis and symptoms. The second stage of the procedure may need to be performed soon after the first should the hypoxia prove intolerable. Copyright © Cambridge University Press 1999 Glenn anastomosis nationallicence grown-up congenital heart disease nationallicence Elizari Amalia Jane Somerville Grown-up Congenital Heart Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College, London, UK Somerville Jane Jane Somerville Grown-up Congenital Heart Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College, London, UK Cardiology in the Young Cambridge University Press 9/3(1999-05), 257-265 1047-9511 9:3<257 1999 9 CTY https://doi.org/10.1017/S1047951100004911 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S1047951100004911 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Elizari Amalia Jane Somerville Grown-up Congenital Heart Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College, London, UK NATIONALLICENCE 700 1- Somerville Jane Jane Somerville Grown-up Congenital Heart Unit, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College, London, UK NATIONALLICENCE 773 0- Cardiology in the Young Cambridge University Press 9/3(1999-05), 257-265 1047-9511 9:3<257 1999 9 CTY CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge