| Two scimitar veins in an adult: repair through a right thoracotomy without cardiopulmonary bypass. | |
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MedLine Citation:
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PMID: 20548823 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Scimitar syndrome is a rare but serious congenital condition that consists of anomalous pulmonary venous drainage of the right lung to the inferior vena cava. The appearance on chest radiography resembles a curved Turkish sword, or scimitar. Scimitar syndrome is associated with other anomalies, including hypoplasia of the right lung, dextroposition of the heart, anomalous systemic arterial supply to the right lung, and atrial septal defect. Clinical manifestations in infants include severe tachypnea and cyanosis. Adult patients may present with dyspnea and increased fatigue. Few adult cases have been reported in the medical literature. Classical surgical repair involves diversion of the scimitar venous flow into the left atrium with a baffle, requiring the use of cardiopulmonary bypass and deep hypothermic circulatory arrest. Herein, we report the case of a 42-year-old woman with 2 scimitar veins who underwent corrective surgery at our center without the use of cardiopulmonary bypass. We also comment on the importance of a patient's lung hypoplasia in the decision to repair the defect through a right thoracotomy. |
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Authors:
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Simon Schwill; Jennifer Del Prete; Denton A Cooley; David L S Morales |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 37 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-09-27 Revised Date: 2010-09-28 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 358-60 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, Texas 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple* Adult Cardiopulmonary Bypass Coronary Angiography Dyspnea / etiology Fatigue / etiology Female Humans Ligation Lung / abnormalities, blood supply* Pericardiectomy Pulmonary Veins / abnormalities, radiography, surgery* Scimitar Syndrome / complications, radiography, surgery* Thoracotomy* Treatment Outcome Vascular Surgical Procedures Vena Cava, Inferior / abnormalities, radiography, surgery* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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