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Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in chUdren

Pediatric Investigation 2021年第1期5卷 46-51页

作者： Wei Cheng Zhiqiang Li Yaobin Zhu Nan Ding Daole Yan Hanlu Yi Department of Cardiovascular Surgery II Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthBeijingChina

Importance:Scimitar syndrome(SS)is a rare type of congenital heart disease characterized by total or partial anomalous venous drainage of the right lung to the inferior vena ***,the surgical repair techniques for SS vary according to patients'anatomical and pathological ***:This study was performed to analyze the mid-term results of a less invasive surgical correction technique for SS in ***:Eleven patients with SS who underwent surgical repair from January 2012 to March 2020 were retrospectively *** anomalous scimitar vein(SV)was directly reimplanted to the left atrium,and the concomitant atrial septal defect was simultaneously repaired with cardiopulmonary ***:Three male and eight female patients were included in the *** mean age was 3.1±1.3 years,and their mean body weight was 12.8±3.0 *** patients had symptoms,such as upper respiratory tract infection,dyspnea,and recurrent pneumonia,and two patients had pulmonary *** of the 11 patients who underwent direct SV reimplantation by right thoracotomy developed bleeding,arrhythmia,heart failure,or perioperative death,and no patients required reoperation during a mean follow-up period of 36.6±15.2 *** echocardiography revealed no restenosis or obstruction of the anastomosis in any ***:Surgical repair for SS by right thoracotomy and direct anastomosis of the SV to the posterior wall of the left atrium is safe and effective,with good long-term patency of the reimplanted SV and a low mortality rate.

关键词： Scimitar syndrome Congenital heart disease Surgical repair Right thoracotomy direct anastomosis

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