Modified In Situ Pericardial Rerouting Technique for Scimitar Syndrome Repair

• Published in: World journal for pediatric & congenital heart surgery Vol. 8; no. 6; pp. 735 - 739
• Main Authors: Lugones, Ignacio, Biancolini, María Fernanda, Zerpa Pacheco, Victoria Eugenia, Martínez, Inés Ana, Damsky Barbosa, Jesús María Maximiliano, de Dios, Ana María Susana
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01-11-2017
• Subjects: congenital heart disease; pericardium; congenital heart surgery; pediatric
• ISSN: 2150-1351; 2150-136X
• DOI: 10.1177/2150135117732540

Scimitar syndrome repair represents a challenge due to the high incidence of postoperative pulmonary venous obstruction associated with classic surgical strategies. In situ pericardial rerouting technique has been considered a promising alternative approach due to its simplicity and excellent midterm results. Access to the left atrium can be difficult in young patients with severe dextrocardia and hypoplastic right lung. We describe a modification of the original rerouting technique in which the atrial septum is repositioned in order to create a wide opening in the lateral aspect of the left atrium and ensure an adequate size of the reconstructed pathway.