Cerebral ventriculomegaly after the bidirectional Glenn (BDG) shunt: a single-institution retrospective analysis.
Clinton D MorganMichael S WolfTruc M LeChevis N ShannonJohn C WellonsBret A MettlerPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2015)
To our knowledge, our study is the first to demonstrate ventriculomegaly developing after the BDG. Physiologically, increasing CVP after the BDG was associated with greater change in lateral ventricle size. This supports the contention that increasing CVP produced during the BDG may damage the developing brain. This study has informed a prospective evaluation of a link between the BDG procedure and neurologic outcomes.