PMC6343385_01
(a) Chest X-ray reveals a curvilinear opacity (white arrow) that descends toward the diaphragm (Scimitar sign). (b) White arrow shows the SV in an axial section and (c) a sagittal view shows the descending SV in contrast-enhanced pulmonary computed tomography angiography. (d) Herniation of the diaphragm into the thoracic cage (black arrow) and compression and/or hypoplasia of the right lung. (e) Schematic drawing of the surgical procedure (author's own drawing [Koray Ak]). (f) Coronal view showing a patent extracardiac conduit 6 months after procedure. IVC: Inferior vena cava, LA: Left atrium, PTFE: Polytetrafluoroethylene, RA: Right atrium, SV: Scimitar vein, SVC: Superior vena cava
APC-12-49-g001.jpg
PMC6343385_02_APC-12-49-g001.jpg
F1
Chest X-ray revealed herniation of the diaphragm into the thoracic cage on the right side and compression and/or hypoplasia of the right middle and lower lobes [Figure 1d]. An end to side anastomosis was constructed between the PTFE graft (13 mm in diameter) and the left atrial wall [Figure 1e]. Postoperative transthoracic echocardiography and pulmonary CT angiography revealed a patent drainage of the pulmonary venous return to the left atrium through the extracardiac-ringed conduit before discharge and at 6 months after repair [Figure 1f].
PMC6343385_02
(a) Chest X-ray reveals a curvilinear opacity (white arrow) that descends toward the diaphragm (Scimitar sign). (b) White arrow shows the SV in an axial section and (c) a sagittal view shows the descending SV in contrast-enhanced pulmonary computed tomography angiography. (d) Herniation of the diaphragm into the thoracic cage (black arrow) and compression and/or hypoplasia of the right lung. (e) Schematic drawing of the surgical procedure (author's own drawing [Koray Ak]). (f) Coronal view showing a patent extracardiac conduit 6 months after procedure. IVC: Inferior vena cava, LA: Left atrium, PTFE: Polytetrafluoroethylene, RA: Right atrium, SV: Scimitar vein, SVC: Superior vena cava
APC-12-49-g001.jpg
PMC6343385_02_APC-12-49-g001.jpg
F1
Chest X-ray revealed herniation of the diaphragm into the thoracic cage on the right side and compression and/or hypoplasia of the right middle and lower lobes [Figure 1d]. An end to side anastomosis was constructed between the PTFE graft (13 mm in diameter) and the left atrial wall [Figure 1e]. Postoperative transthoracic echocardiography and pulmonary CT angiography revealed a patent drainage of the pulmonary venous return to the left atrium through the extracardiac-ringed conduit before discharge and at 6 months after repair [Figure 1f].