Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-27T15:36:11.087Z Has data issue: false hasContentIssue false

Autologous vascularised pericardial flap tunneling technique in Scimitar syndrome repair with dextrocardia: lessons from the Senning procedure

Part of: Surgery

Published online by Cambridge University Press:  15 January 2021

Alain J. Poncelet*
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium
Karlien Carbonez
Affiliation:
Department of Pediatric Cardiology, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium
Jean E. Rubay
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium
*
Author for correspondence: A. Poncelet, MD, PhD, Cardio-Vascular Department, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, B - 1200Bruxelles, Belgium. Tel.: +32 2 7646107; Fax +32 2 764 8960. E-mail: alain.poncelet@uclouvain.be

Abstract

Scimitar syndrome is a rare variant (5%) of partial abnormal pulmonary venous return. Surgery is required when pulmonary overcirculation is present. Following repair, Scimitar vein stenosis occurs in approximately 20%. We applied a variant of the atrial switch technique using autologous pericardial flap in a patient with Scimitar syndrome and dextrocardia. This tunneling technique allowed tension-free anastomosis and minimal Scimitar vein rotation.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Neill, CA, Ferencz, C, Sabiston, DC, Sheldon, H. The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage “scimitar syndrome”. Bull Johns Hopkins Hosp 1960; 107: 121.Google ScholarPubMed
Shumacker, HB Jr. A new operation for transposition of the great vessels. Surgery 1961; 50: 773777.Google ScholarPubMed
Zubiate, P, Kay, JH. Surgical correction of anomalous pulmonary venous connection. Ann Surg 1962; 156: 234250.10.1097/00000658-196208000-00009CrossRefGoogle ScholarPubMed
Tornvall, SS, Jackson, KH, Alvayay, JC, Vargas, AC, Koch, W, Zarate, E. Anomalous drainage of the pulmonary veins into the inferior vena cava. Report of an operation. J Thorac Cardiovasc Surg 1961; 42: 413417.10.1016/S0022-5223(20)31930-9CrossRefGoogle ScholarPubMed
Lam, TT, Reemtsen, BL, Starnes, VA, Wells, WJ. A novel approach to the surgical correction of Scimitar syndrome. J Thorac Cardiovasc Surg 2007; 133: 573574.CrossRefGoogle ScholarPubMed
Lugones, I, Garcia, R. A new surgical approach to Scimitar syndrome. Ann Thorac Surg 2014; 97: 353355.CrossRefGoogle ScholarPubMed
Vida, VL, Padalino, MA, Boccuzzo, G et al. Scimitar syndrome: a European Congenital Heart Surgeons Association (ECHSA) multicentric study. Circulation 2010; 122: 11591166.CrossRefGoogle ScholarPubMed
Dusenbery, SM, Geva, T, Seale, A et al. Outcome predictors and implications for management of Scimitar syndrome. Am Heart J 2013; 165: 770777.10.1016/j.ahj.2013.01.016CrossRefGoogle ScholarPubMed
Hvass, U, Pansard, Y, Bohm, G, Depoix, JP, Enguerrand, D, Worms, AM. Bicaval pulmonary connection in tricuspid atresia using an extracardiac tube of autologous pediculated pericardium to bridge inferior vena cava. Eur J Cardiothorac Surg 1992; 6: 4951.10.1016/1010-7940(92)90099-JCrossRefGoogle ScholarPubMed
Rubay, JE, de Halleux, C, Jaumin, P et al. Long-Term follow-up of the Senning operation for transposition of the great arteries in children under 3 months of age. J Thorac Cardiovasc Surg 1987; 94: 7581.10.1016/S0022-5223(19)36320-2CrossRefGoogle ScholarPubMed
Mee, RBB. The double switch operation with accent on the Senning component. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005; 8: 5765.CrossRefGoogle Scholar