Abstract | OBJECTIVE: The scimitar syndrome is a congenital anomaly that consists in part of total or partial anomalous venous drainage of the right lung to the inferior vena cava. Surgical approaches to the scimitar syndrome have varied according to the anatomic and pathologic features presented in each case. The aim of this study was to present an alternative approach to the surgical correction of scimitar syndrome. METHODS: RESULTS: There were no operative or late deaths, and no patients have required reoperation. At the time of follow-up (mean 55 +/- 46 months), echocardiography demonstrated a patent anastomosis in all patients without any evidence of restenosis. CONCLUSION: This clinical experience indicates that an alternative surgical approach to scimitar syndrome is direct anastomosis of the scimitar vein to the posterior aspect of the left atrium using a right thoracotomy without cardiopulmonary bypass. This procedure is safe and effective and obviates the need for long intra-atrial baffles and the use of the extracorporeal circuit.
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Authors | John W Brown, Mark Ruzmetov, Douglas J Minnich, Palaniswamy Vijay, Christopher A Edwards, Paul N Uhlig, Andrew C Fiore, Mark W Turrentine |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 125
Issue 2
Pg. 238-45
(Feb 2003)
ISSN: 0022-5223 [Print] United States |
PMID | 12579091
(Publication Type: Journal Article)
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Topics |
- Adult
- Child
- Child, Preschool
- Cough
(etiology)
- Dyspnea
(etiology)
- Echocardiography, Transesophageal
- Female
- Follow-Up Studies
- Heart Atria
(surgery)
- Humans
- Male
- Patient Selection
- Pneumonia
(etiology)
- Pulmonary Circulation
- Pulmonary Veins
(surgery)
- Pulmonary Wedge Pressure
- Recurrence
- Replantation
(methods)
- Respiratory Tract Infections
(etiology)
- Scimitar Syndrome
(complications, diagnosis, surgery)
- Treatment Outcome
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