{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:12:52Z","timestamp":1777878772083,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>There is an increasing trend of performing the bidirectional superior cavopulmonary anastomosis or bidirectional Glenn (BDG) without cardiopulmonary bypass (CPB). However, there are concerns of neurological dysfunction due to cerebral congestion and systemic oxygen desaturation due to clamping the superior vena cava and pulmonary artery, respectively, required for the off-pump anastomosis. In this report we present our alternative technique of performing the procedure without CPB in 13 patients. This technique may be a useful alternative in a select anatomic group of patients.<\/jats:p>","DOI":"10.1177\/21501351251327215","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T04:19:23Z","timestamp":1744863563000},"page":"537-542","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Alternative Technique of Performing the Bidirectional Superior Cavopulmonary Connection without Cardiopulmonary Bypass"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9063-7691","authenticated-orcid":false,"given":"Sachin","family":"Talwar","sequence":"first","affiliation":[{"name":"Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0372-9951","authenticated-orcid":false,"given":"Niwin","family":"George","sequence":"additional","affiliation":[{"name":"Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amitabh","family":"Satsangi","sequence":"additional","affiliation":[{"name":"Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akshaya Kumar","family":"Bisoi","sequence":"additional","affiliation":[{"name":"Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195807172590304"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2150135119894478"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38595-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900417"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02184923231213010"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivx168"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2006.133710"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-008-0061-x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.13149"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)35594-1"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900417"},{"issue":"2","key":"e_1_3_2_13_2","first-page":"367","article-title":"Should the bidirectional Glenn procedure be performed through a thoracotomy without cardiopulmonary bypass?","volume":"118","author":"Jahangiri M","year":"1999","unstructured":"Jahangiri M, Keogh B, Shinebourne EA, Lincoln C. Should the bidirectional Glenn procedure be performed through a thoracotomy without cardiopulmonary bypass? J ThoracCardiovasc Surg. 1999;118(2):367-368.","journal-title":"J ThoracCardiovasc Surg"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/021849239600400105"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.06.024"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.43879"},{"key":"e_1_3_2_17_2","first-page":"1","article-title":"Placement of a modified cannula in the innominate vein for sufficient drainage during the bidirectional Glenn shunt procedure without cardiopulmonary bypass","volume":"10","author":"Chen LW","year":"2015","unstructured":"Chen LW, Dai XF, Wu XJ, Wang QM. Placement of a modified cannula in the innominate vein for sufficient drainage during the bidirectional Glenn shunt procedure without cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2015;10:1-3.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"e_1_3_2_18_2","first-page":"1771","article-title":"Novel techniques of bidirectional Glenn shunt without cardiopulmonary bypass","volume":"67","author":"Murthy KS","year":"1999","unstructured":"Murthy KS, Coelho R, Naik SK, Punnoose A, Thomas W, Cherian KM. Novel techniques of bidirectional Glenn shunt without cardiopulmonary bypass. Ann Thorac Cardiovasc. 1999;67(6):1771-1774.","journal-title":"Ann Thorac Cardiovasc"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.08.028"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40981-022-00531-6"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00012-5"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)01066-7"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(00)70155-3"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251327215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351251327215","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251327215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:27:28Z","timestamp":1777591648000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351251327215"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,17]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/21501351251327215"],"URL":"https:\/\/doi.org\/10.1177\/21501351251327215","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,17]]}}}