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Ann Thorac Surg 1977;23:267-270
© 1977 The Society of Thoracic Surgeons

Articles

Correction of Anomalous Subdiaphragmatic Inferior Vena Caval Drainage of the Right Pulmonary Veins (Scimitar Syndrome)

Gordon R. Tobin, M.D., Robert M. Anderson, M.D.*, Arnold J. Arem, M.D.

Department of Surgery, University of Arizona College of Medicine, Tucson, AZ.

Accepted for publication July 22, 1976.

* Address reprint requests to Dr. Anderson, Department of Surgery, University of Arizona College of Medicine, Tucson, AZ 85724.

Correction of anomalous infradiaphragmatic inferior vena caval drainage of the right pulmonary veins can be repaired under conventional cardiopulmonary bypass by placing a circumferential tape below the diaphragm between the hepatic veins and the scimitar vein entrance. During repair, creation of an atrial septal defect in the distorted septal-left atrial junction of scimitar syndrome is facilitated by first incising the anteromedial aspect of the fossa ovalis to better delineate the optimal posterolateral margin. A case history illustrates the technique.






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