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Scimitar Syndrome—Complex Surgical Revision 3 Decades After Repair

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1 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: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 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  , e183-e185DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 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  , e183-e185DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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