{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T06:17:18Z","timestamp":1791613038581,"version":"4.3.4"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T00:00:00Z","timestamp":1616371200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Investigation"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>Scimitar syndrome (SS) is a rare type of congenital heart disease characterized by total or partial anomalous venous drainage of the right lung to the inferior vena cava. However, the surgical repair techniques for SS vary according to patients\u2019 anatomical and pathological features.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study was performed to analyze the mid\u2010term results of a less invasive surgical correction technique for SS in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eleven patients with SS who underwent surgical repair from January 2012 to March 2020 were retrospectively analyzed. The anomalous scimitar vein (SV) was directly reimplanted to the left atrium, and the concomitant atrial septal defect was simultaneously repaired with cardiopulmonary bypass.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three male and eight female patients were included in the study. Their mean age was 3.1 \u00b1 1.3 years, and their mean body weight was 12.8 \u00b1 3.0 kg. Most patients had symptoms, such as upper respiratory tract infection, dyspnea, and recurrent pneumonia, and two patients had pulmonary hypertension. None of the 11 patients who underwent direct SV reimplantation by right thoracotomy developed bleeding, arrhythmia, heart failure, or perioperative death, and no patients required reoperation during a mean follow\u2010up period of 36.6 \u00b1 15.2 months. Postoperative echocardiography revealed no restenosis or obstruction of the anastomosis in any patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Surgical repair for SS by right thoracotomy and direct anastomosis of the SV to the posterior wall of the left atrium is safe and effective, with good long\u2010term patency of the reimplanted SV and a low mortality rate.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ped4.12255","type":"journal-article","created":{"date-parts":[[2021,3,22]],"date-time":"2021-03-22T15:09:10Z","timestamp":1616425750000},"page":"46-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in children"],"prefix":"10.1002","volume":"5","author":[{"given":"Wei","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiqiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaobin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daole","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanlu","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery II Beijing Children\u2019s Hospital Capital Medical University National Center for Children\u2019s Health  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,22]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"600","article-title":"Case of malformation of the thoracic viscera consisting of imperfect development of right lung, and transposition of the heart","volume":"18","author":"Cooper G","year":"1836","journal-title":"Lond Med Gaz"},{"key":"e_1_2_7_3_1","first-page":"1","article-title":"The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage, \u201cscimitar syndrome\u201d","volume":"107","author":"Neill CA","year":"1960","journal-title":"Bull Johns Hopkins Hosp"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(98)70108-7"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)91198-D"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-007-0441-z"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(96)70129-0"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcct.2018.02.001"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2003.113"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.05.105"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/otct.2001.22698"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00525-0"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01227-2"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2017.01.014"}],"container-title":["Pediatric Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12255","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ped4.12255","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ped4.12255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T14:56:10Z","timestamp":1693580170000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ped4.12255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1002\/ped4.12255"],"URL":"https:\/\/doi.org\/10.1002\/ped4.12255","archive":["Portico"],"relation":{},"ISSN":["2574-2272","2574-2272"],"issn-type":[{"value":"2574-2272","type":"print"},{"value":"2574-2272","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2020-10-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}