2003
DOI: 10.1067/mtc.2003.113
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Surgical management of scimitar syndrome: An alternative approach

Abstract: 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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Cited by 111 publications
(95 citation statements)
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References 13 publications
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“…IOTEE had an important role for pre pump and post pump evaluations. Few cases with isolated RV hypoplasia and ASD have been reported and temporary occlusion of the ASD with a balloon catheter during preoperative study has been proposed to identify the patient suitable for simple closure of the ASD (1)(2)(3)(4)(5). In the present case, the balloon occlusion test was not conclusive, since the patient had multiple associated anomaly (ASD, VSD, PS).…”
Section: Discussioncontrasting
confidence: 40%
See 1 more Smart Citation
“…IOTEE had an important role for pre pump and post pump evaluations. Few cases with isolated RV hypoplasia and ASD have been reported and temporary occlusion of the ASD with a balloon catheter during preoperative study has been proposed to identify the patient suitable for simple closure of the ASD (1)(2)(3)(4)(5). In the present case, the balloon occlusion test was not conclusive, since the patient had multiple associated anomaly (ASD, VSD, PS).…”
Section: Discussioncontrasting
confidence: 40%
“…A few cases with isolated hypoplastic RV and ASD have been reported (1)(2)(3). Surgical treatment of these patients is challenging.…”
Section: Introductionmentioning
confidence: 99%
“…Although repair of the anomalous venous return or ligation of collaterals is the procedure of choice, pneumonectomy has also shown similar early and late results. Surgery is indicated when the right-to-left shunt is >2:1 [12,13]. Sometimes patients present with an incidental radiological finding with no symptoms.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical intervention is necessary, if pulmonary hypertension develops. Some recomend early surgical intervention, if "cardiopulmonary bypass" and "cardiac arrest" are not going to be applied (10).…”
Section: Discussionmentioning
confidence: 99%