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INTRODUCTION Single ventricle is one type of infrequent and complex congenital heart disease.Bidirectional Glenn shunt operation is becoming the most common and effective palliative operation of single ventricle to improve the symptoms before modified Fontan operation.However, Bidirectional Glenn shunt operation is rarely applied to the adult patient (more than 20 years old) with single ventricle because of the low survival rate1.In this report, we presented a six years following-up study of the Bidirectional Glenn shunt in a 37-year-old female patient with single ventricle.