Document Detail

Two scimitar veins in an adult: repair through a right thoracotomy without cardiopulmonary bypass.
MedLine Citation:
PMID:  20548823     Owner:  NLM     Status:  MEDLINE    
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.
Simon Schwill; Jennifer Del Prete; Denton A Cooley; David L S Morales
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2010-06-15     Completed Date:  2010-09-27     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  358-60     Citation Subset:  IM    
Department of Cardiovascular Surgery, Texas Heart Institute, St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
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MeSH Terms
Abnormalities, Multiple*
Cardiopulmonary Bypass
Coronary Angiography
Dyspnea / etiology
Fatigue / etiology
Lung / abnormalities,  blood supply*
Pulmonary Veins / abnormalities,  radiography,  surgery*
Scimitar Syndrome / complications,  radiography,  surgery*
Treatment Outcome
Vascular Surgical Procedures
Vena Cava, Inferior / abnormalities,  radiography,  surgery*

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