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Complicated Scimitar Syndrome Repair

Imaging findings

Post-operative imaging after a failed baffle repair and subsequent pneumonectomy suggested a missed lobe was left behind, appearing as an opaque, consolidated density.

Key takeaways

In Scimitar syndrome, surgical challenges can arise due to atypical anatomy; surgeons should be warned about potential "accessory hemidiaphragm" tissue or aberrant fissures that can confound anatomical identification during surgery.

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