title: Right Thoracotomy to Repair Scimitar Syndrome and an Accessory Hemidiaphragm.
abstract: The association of an accessory hemidiaphragm and scimitar syndrome is extremely rare and occurs exclusively in the right hemithorax. We present the case of a 27-year-old female, who underwent complete resection of the accessory hemidiaphragm and direct anastomosis of the scimitar vein to the left atrium through a lateral right thoracotomy. This surgical approach offered easy access to both anomalies and allowed single-stage concomitant repair; this approach avoided postoperative respiratory complications and possible torsion or stenosis of the scimitar vein.
authors.affiliation: Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, University of Bordeaux 2, Bordeaux, France. Electronic address: mohammed.al-yamani@chu-bordeaux.fr.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al-Yamani
authors.affiliation: Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, University of Bordeaux 2, Bordeaux, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Kreitmann
authors.affiliation: Department of Pediatric Cardiology, Bordeaux Heart University Hospital, University of Bordeaux 2, Bordeaux, France.
authors.forename: Jean-Benoit
authors.initials: JB
authors.lastname: Thambo
authors.affiliation: Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, University of Bordeaux 2, Bordeaux, France.
authors.forename: Francois
authors.initials: F
authors.lastname: Roubertie
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D000072226:Computed Tomography Angiography / Q000379:methods; D003964:Diaphragm / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D035583:Rare Diseases; D018570:Risk Assessment; D012587:Scimitar Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome