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The Glenn procedure is the second of three surgeries for children with single-ventricle defects such as hypoplastic left heart syndrome (HLHS). The Glenn procedure is done after the Norwood procedure and before the Fontan procedure.
Los cirujanos cardiotorácicos del Norton Children’s Heart Institute, afiliado a la Facultad de Medicina de la UofL, generalmente realizan la operación cuando el paciente tiene entre 4 y 6 meses de vida.
As the leading providers of pediatric heart care in Louisville and Southern Indiana, the cardiothoracic surgeons at Norton Children’s Heart Institute are trained and experienced in the Norwood, Glenn and Fontan procedures associated with the treatment of all single-ventricle conditions, including HLHS.
Our board-certified and fellowship-trained specialists will develop a customized treatment plan for you and your child and provide close monitoring between the Norwood and Glenn procedures.
The child will be sent home with a specially equipped iPad and equipment to measure vital signs and other data. Heart rate, oxygen levels and weight are entered at least once a day and sent to the team at Norton Children’s Heart Institute. Sometimes the data can allow for quick action on an issue that wasn’t readily apparent at home.
Los objetivos del procedimiento de Glenn a corazón abierto:
During the Glenn procedure, Norton Children’s Heart Institute cardiothoracic surgeons disconnect the superior vena cava (the vein that brings blood back from the upper part of the body) from the heart and reattach it to the pulmonary artery. These new connections redirect blood flow from the upper body to the lungs.
If present, they also remove the shunt that may have been placed during a previous operation, such as the Norwood procedure. Ya no se necesita una derivación porque la sangre de la parte superior del cuerpo ahora irá a la arteria pulmonar y luego a los pulmones. Also, the single ventricle now has one job: bombear sangre al cuerpo.
Los bebés que se someten al procedimiento de Glenn generalmente pasan una o dos semanas en el hospital para recuperarse. También reciben medicamentos para ayudar al corazón y mejorar el flujo sanguíneo. En el Norton Children’s Hospital, recibirán atención y seguimiento constantes.
Growing into adulthood with this unique single-ventricle circulatory system can come with complications and risks affecting the liver, kidneys, heart or lungs.
The Norton Children’s Heart Institute Fontan Clinic provides regular follow-up and monitoring to help spot any emerging issue early and treat it sooner, when more options may be available.
The clinic works in conjunction with the Norton Children’s Heart Institute’s adult congenital heart disease program to provide sophisticated care to patients born with heart conditions.