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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

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