Scimitar Syndrome—Complex Surgical Revision 3 Decades After Repair

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Scimitar Syndrome—Complex Surgical Revision 3 Decades After Repair Maher N. Abadeer, MD, Eckehard A.E. Stuth, MD, Peter C. Kouretas, MD, PhD, Salil Ginde, MD, MPH, Roni Jacobsen, MD, Ronald K. Woods, MD, PhD The Annals of Thoracic Surgery Volume 103, Issue 2, Pages e183-e185 (February 2017) DOI: 10.1016/j.athoracsur.2016.07.056 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Large venous collateral is seen arising from suprarenal inferior vena cava (IVC), forming network of hepatic sinusoids and then uniting as 1 vein draining into right atrium (RA). Scimitar vein can be seen draining into atriocaval junction. The Annals of Thoracic Surgery 2017 103, e183-e185DOI: (10.1016/j.athoracsur.2016.07.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Initial repair, (B) presumed intermediary stage with lower portion of patch dehisced, and (C) anatomy as it existed for current operation, with lower portion of patch now seated against anterior wall of inferior vena cava (IVC) and fully diverting IVC blood to left atrium. (AO = aorta; HV = hepatic view; IVC = inferior vena cava; PT = pulmonary trunk; SVC = superior vena cava; TV = tricuspid valve.) The Annals of Thoracic Surgery 2017 103, e183-e185DOI: (10.1016/j.athoracsur.2016.07.056) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions