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The Hemi-Mustard/Bidirectional Glenn Atrial Switch in the Anatomic ...

The Hemi-Mustard/Bidirectional Glenn Atrial Switch in the Anatomic ...

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OUR STRATEGY: Optimize outcomes of anatomic<br />

correction of ccTGA with <strong>the</strong> bidirectional <strong>Glenn</strong><br />

–RV Unload<strong>in</strong>g may<br />

•Lessen impact of RV dysfunction<br />

•Prolong life of RV­PA conduit<br />

•Decrease tricuspid regurgitation<br />

–Simplify<strong>in</strong>g atrial baffle may<br />

•Reduce s<strong>in</strong>us node dysfunction and atrial dysrhythmias<br />

•Reduce systemic and pulmonary venous pathway<br />

obstruction<br />

•Be helpful with positional anomalies such as situs solitus<br />

with dextrocardia, mesocardia and situs <strong>in</strong>versus

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