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The Annals of Thoracic Surgery, Vol 23, 267-270, Copyright © 1977 by The Society of Thoracic Surgeons

ARTICLES

Correction of anomalous subdiaphragmatic inferior vena caval drainage of the right pulmonary veins (scimitar syndrome)

GR Tobin, RM Anderson and AJ Arem

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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Copyright © 1977 by The Society of Thoracic Surgeons.