OBJECTIVE: The @entity1700 is a @entity154 that consists in part of total or partial @entity1211 of the right lung to the inferior vena cava. Surgical @entity1700 have varied according to the anatomic and pathologic features presented in each case. The aim of this study was to present an alternative approach to the surgical @entity1700 . METHODS: Nine @entity1 with the @entity1700 were operated on between 1990 and 2000. They comprised 1 male and 8 female @entity1 (mean age 11.5 +/- 17.6 years). All @entity1 had symptoms, with recurrent @entity55 or @entity1729 and pulmonary/systemic flow ratios greater than 1.5:1.0. None of the @entity1 had @entity120 or an @entity118 . All @entity1 underwent repair of the anomalous scimitar vein by direct reimplantation into the left atrium without cardiopulmonary bypass. Two @entity1 underwent concomitant resection of a right lower lobe sequestration. Follow-up was complete in all cases. RESULTS: There were no operative or late deaths, and no @entity1 have required reoperation. At the time of follow-up (mean 55 +/- 46 months), echocardiography demonstrated a patent @entity254 in all @entity1 without any evidence of @entity256 . CONCLUSION: This clinical experience indicates that an alternative surgical @entity1700 is direct @entity254 of the scimitar vein to the posterior aspect of the left atrium using a right thoracotomy without cardiopulmonary bypass. This procedure is safe and effective and obviates the need for long intra-atrial baffles and the use of the extracorporeal circuit.

Surgical management of XXXX : an alternative approach.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital anomaly'] @entity1700 :: ('MESH:D012587', 'Disease') :: ['correction of scimitar syndrome', 'scimitar syndrome', 'approach to scimitar syndrome', 'approaches to the scimitar syndrome'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity120 :: ('MESH:D006976', 'Disease') :: ['pulmonary hypertension'] @entity256 :: ('MESH:D023903', 'Disease') :: ['restenosis'] @entity1729 :: ('MESH:D012141', 'Disease') :: ['respiratory tract infections'] @entity118 :: ('MESH:D006344', 'Disease') :: ['atrial septal defect'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['anomalous venous drainage']
@entity1700 :: (MESH:D012587,Disease) :: ['scimitar syndrome']
