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Abstract
The bidirectional cavopulmonary anastomosis (BCPA) represents the standard procedure in treatment of patients with single ventricle physiology. There are some controversies regarding the usefulness of leaving additional pulmonary blood flow (APBF) when establishing a BCPA. It has been speculated that the association of BCPA and additional pulmonary blood flow might provide long term palliation. Aim of the work: The aim of this study was to compare between the outcome of patients who underwent bidirectional cavopulmonary anastomosis without additional pulmonary blood flow and those with additional pulmonary blood flow and to assess the bidirectional cavopulmonary anastomosis as a long term palliation. Conclusion: Leaving additional pulmonary flow following a bidirectional Glenn shunt have no impact on long term outcome