Abstract:Please cite this article as: Shulman Ryan M., Yres Jonny A, Baffle thrombosis in an adult with remote prior Scimitar vein repair mimicking massive pulmonary embolism, Journal of Clinical Imaging (2014Imaging ( ), doi: 10.1016Imaging ( /j.clinimag.2014 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof befor… Show more
“…This process of "track switching" likely went through an intermediary stage of caval stenosis, accounting for the development of the large inferior systemic venous collateral (Figs 1, 2). The appearance of symptoms 31 years after repair is highly unusual and illustrates the importance of lifelong follow-up in patients with repaired congenital heart disease [4].…”
We present a case of a 39-year-old woman with scimitar syndrome who had a 2-patch repair 3 decades previously and presented with a right-to-left shunt of the inferior vena cava (IVC) to the left atrium resulting from baffle dehiscence. We discuss details of our reoperative repair.
“…This process of "track switching" likely went through an intermediary stage of caval stenosis, accounting for the development of the large inferior systemic venous collateral (Figs 1, 2). The appearance of symptoms 31 years after repair is highly unusual and illustrates the importance of lifelong follow-up in patients with repaired congenital heart disease [4].…”
We present a case of a 39-year-old woman with scimitar syndrome who had a 2-patch repair 3 decades previously and presented with a right-to-left shunt of the inferior vena cava (IVC) to the left atrium resulting from baffle dehiscence. We discuss details of our reoperative repair.
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