Surgical management of scimitar syndrome: An alternative approach

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Surgical management of scimitar syndrome: An alternative approach John W. Brown, MD, Mark Ruzmetov, MD, Douglas J. Minnich, BS, Palaniswamy Vijay, PhD, MPH, Christopher A. Edwards, BA, Paul N. Uhlig, MD, Andrew C. Fiore, MD, Mark W. Turrentine, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 125, Issue 2, Pages 238-245 (February 2003) DOI: 10.1067/mtc.2003.113 Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Dr Brown The Journal of Thoracic and Cardiovascular Surgery 2003 125, 238-245DOI: (10.1067/mtc.2003.113) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Course of right pulmonary vein (RPV, scimitar vein) as it enters subdiaphragmatic inferior vena cava as viewed from right fifth intercostal space. Note close proximity of scimitar vein to posterior left atrial (LA) wall. RA, Right atrium; SVC, superior vena cava. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 238-245DOI: (10.1067/mtc.2003.113) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 View of right pulmonary vein (RPV, scimitar vein) after detachment from inferior vena cava and reimplantation into posterior inferior wall of left atrium (LA) with side-biting vascular clamp as viewed through right fifth intercostal space. RA, Right atrium. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 238-245DOI: (10.1067/mtc.2003.113) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Short-axis transthoracic echocardiographic view demonstrating unobstructed course of anomalous right pulmonary vein (scimitar vein [SV]) 2 years after direct reimplantation into left atrium (LA). AO, Aorta; LV, left ventricle; MV, mitral valve. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 238-245DOI: (10.1067/mtc.2003.113) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Short-axis transthoracic Doppler echocardiographic view demonstrating widely patent anastomosis of scimitar vein (SV) to left atrium (LA) 2 years after reimplantation. AO, Aorta; LV, left ventricle; MV, mitral valve. The Journal of Thoracic and Cardiovascular Surgery 2003 125, 238-245DOI: (10.1067/mtc.2003.113) Copyright © 2003 American Association for Thoracic Surgery Terms and Conditions