{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:19:13Z","timestamp":1787750353636,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Scimitar variant is a rare partial anomalous pulmonary venous connection that lacks right lung hypoplasia and cardiac dextroposition. Its coexistence with Swiss cheese-type ventricular septal defects (VSDs) is extremely rare and can result in complex hemodynamic changes. A 23-month-old boy with Scimitar variant and multiple Swiss cheese-type VSDs underwent single-stage repair. Preoperative imaging revealed anomalous drainage of the entire right pulmonary venous return into the inferior vena cava and a persistent left superior vena cava. The dominant perimembranous defect was patched, while smaller muscular defects were managed conservatively. The repair was performed without deep hypothermic circulatory arrest.<\/jats:p>","DOI":"10.4103\/apc.apc_339_25","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T13:00:52Z","timestamp":1782133252000},"page":"342-345","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Single-stage repair of Scimitar variant with Swiss cheese ventricular septal defects without deep hypothermic circulatory arrest"],"prefix":"10.4103","volume":"19","author":[{"given":"Mahmood Hosseinzadeh","family":"Maleki","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Heidari","family":"Bakavoli","sequence":"additional","affiliation":[{"name":"Department of Imaging, Razavi Hospital, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghodsieh","family":"Hajzadeh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Birjandi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navid Abbasiyan","family":"Fallahi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Razavi Hospital, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"2311","DOI":"10.1017\/S1047951125110044","article-title":"Transcatheter correction of the scimitar variant with dual pulmonary venous drainage-an international multicentre series","volume":"35","author":"Kogure","year":"2025","journal-title":"Cardiol Young"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"973796","DOI":"10.3389\/fcvm.2022.973796","article-title":"Treatment and prognosis of Scimitar syndrome: A retrospective analysis in a single center of East China","volume":"9","author":"Wang","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"R3-20260626","first-page":"e68505","article-title":"Pulmonary shunt in critical care: A comprehensive review of pathophysiology, diagnosis, and management strategies","volume":"16","author":"Paunikar","year":"2024","journal-title":"Cureus"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.5606\/tgkdc.dergisi.2013.7598","article-title":"Scimitar syndrome associated with ventricular septal defect and left pulmonary vein stenosis","volume":"21","author":"Ceyran","year":"2013","journal-title":"Turk J Thorac Cardiovasc Surg"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"411","DOI":"10.31083\/j.rcm2511411","article-title":"Diagnosis and management of ventricular septal defects","volume":"25","author":"Rao","year":"2024","journal-title":"Rev Cardiovasc Med"},{"key":"R6-20260626","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1186\/s13019-024-03085-z","article-title":"Surgical repair of \u201cSwiss cheese\u201cventricular septal defects with two-patch and right ventricular apex-exclusion technique: Mid-term follow-up results","volume":"19","author":"Xu","year":"2024","journal-title":"J Cardiothorac Surg"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1111\/jocs.16289","article-title":"Areview of the therapeutic management of multiple ventricular septal defects","volume":"37","author":"Chowdhury","year":"2022","journal-title":"J Card Surg"},{"key":"R8-20260626","first-page":"481","article-title":"Scimitar syndrome: Twenty years'experience and results of repair","volume":"75","author":"Brown","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"R9-20260626","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1161\/CIRCULATIONAHA.109.926204","article-title":"Scimitar syndrome: A European Congenital Heart Surgeons Association (ECHSA) multicentric study","volume":"122","author":"Vida","year":"2010","journal-title":"Circulation"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_339_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:26:50Z","timestamp":1787747210000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_339_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_339_25","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-11-24","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}