Glenn Procedure

An Overview Detail on Glenn Procedure

Glenn’s procedure is open-heart surgery for babies who require this surgery when they are about 4- 6 months of age. Glenn procedure is performed for children who are born with heart disorders such as hypoplastic left heart syndrome (HLHS), tricuspid atresia, and double outlet right ventricle. Some children require the Norwood procedure prior to the Glenn surgery if they have a particular heart deficit.

Under normal circumstances, the right ventricle sends blood to the lungs to get oxygen and the left ventricle pumps oxygenated blood to the body. However, in certain types of heart diseases such as single ventricle defects, one ventricle is small while the other has to pump blood to the lungs and the rest of the body.

Glenn’s procedure takes blood from the upper body and passes it straight to the lungs. This way, the single ventricle only has to pump blood to the body (and not to the lungs), and therefore, there is no extra pressure put on it.

What Conditions Are Treated by the Glenn Procedure?

Healthcare providers perform Glenn procedure to treat these heart defects:

• Pulmonary atresia with intact ventricular septum.
• Congenital heart disease – tricuspid atresia (the tricuspid valve did not develop between the two chambers).
• Double inlet left or right ventricle – These are conditions present during birth where the heart is abnormally developed.
• Hypoplastic left heart syndrome.
• Unbalanced atrioventricular canal defects.
• The pulmonary artery and aorta are in the wrong location, with faulty valve and ventricle connections.

What Happens before the Glenn Procedure?

In most cases, patients who will be subjected to a Glenn cardiac surgery have an existing Blalock-Taussig (BT) shunt or pulmonary artery band. The Glenn surgery is often performed next when the circulation in the heart with one AV valve or ventricle is augmented.

Before surgery, the physician will want to:

• Undergo a cardiac catheterization or a heart MRI to evaluate the child’s structure.
• Make sure that you are aware of the child’s medications (both prescribed and over-the-counter drugs or supplements the child takes).

Glenn Procedure Cost in India

Numerous elements impact the expenses associated with Glenn Procedure Cost in India. The major driver of cost is the child medical condition. Glenn Procedure Cost in India ranges between INR 4.20 Lakh to INR 6.70 Lakh ($5000 to $8000).

Glenn Procedure Cost in Different Cities in India

CitiesPrice Starting FromDelhi 5300 USDNoida4800 USDGurgaon5000 USDChennai5500 USDMumbai5000 USDBangalore5500 USDKolkata4500 USD

Please keep in mind that the cost of the treatment will vary depending on various factors. Below are the factors that can affect the cost of the treatment.

Factors that affect Glenn Procedure Cost in India

Here are several key factors that influence the expenses associated with Glenn Procedure Cost in India:

Hospital or clinic’s location: The cost of care in a private hospital or clinic is often higher than that in a public hospital.

Medication costs: Certain medicines can influence the overall cost of Glenn Procedure in India.

Patient Condition: The complexity of the patient’s overall health can affect the duration of treatment, impacting the cost.

Duration of treatment: Longer treatment courses involving multiple visits can lead to higher cumulative costs.

The expertise and experience of medical professionals: Cardiac surgeons with extensive experience and recognition often command higher fees, contributing to the treatment cost.

How is Glenn’s Procedure Performed?

Glenn’s procedure involves creating an anastomosis between the SVC and the pulmonary artery while interrupting the SVC flow to the heart. Blood in the upper body now enters the pulmonary artery without passing through the lungs. The pulmonary artery transports blood to the lungs.

To perform the Glenn procedure it is necessary to operate on the heart, and the surgery lasts around 3-4 hours. The intervention also involves placing the child on a heart-lung machine where the machine replaces the process of breathing and blood circulation for the period of the surgery. However, depending on the circumstances it may be more or may take a shorter time.

The child will be under general anesthesia during Glenn’s surgery and will sleep soundly throughout the procedure. They will not be able to feel or even remember anything. For some children, a cardiopulmonary bypass system is needed to perform the tasks of a heart and lungs; However, that is not the case for all children. The surgeon will then address any distortions from prior operations and anastomose the child’s superior vena cava to the right or left pulmonary artery depending on their preference. They can also re-operate on the patients to do any other cardiac repairs that may be necessary at this time.

After The Procedure

It is quite understandable to be worried when a child is attached to tubes and monitor, as the child can be having Glenn procedure done. A child’s surgical team will be caring for the child in the Intensive Care Unit for several weeks.

It is important to understand not all individuals who have received a Glenn treatment for single ventricle related issues will need a Fontan procedure later. If the child needs a Fontan procedure, new circuits will be designed to operate to remove oxygen from lungs to blood stream as well as deliver oxygenated blood to the rest of the body.

What are the Avantages of the Glenn procedure?

The Glenn procedure has the following advantages: The Glenn procedure has the following advantages:

Making it easier on the one ventricle that is still beating, or helping to pump blood.

Reducing the size of the overworked ventricle which has the potential to expand.

Ensuring that the child can easily proceed to the next operation in the sequence or series (Fontan procedure).

May help increase survival outcomes in patients who later undergo the Fontan operation.

Offering a different option for patients who cannot undergo a Fontan procedure or do not require one.

Best Hospitals for Glenn Procdure in India

Here is a list of Hospitals that is known for cardiac surgery in childern that have cardiovascular disease.

• Fortis Escorts Heart Institute, Delhi
• Medanta–The Medicity, Gurugram
• Indraprastha Apollo Hospital, New Delhi
• Artemis Hospital Gurgaon
• Apollo Hospitals, Chennai
• Max Super Speciality Hospital, Delhi
• Asian Heart Institute, mumbaiFortis Memorial Research Institute, Gurugram
• Narayana Institute of Cardiac Sciences, Bommasandra, Bangalore
• Manipal Hospitals, Bangalore

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