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Failed Scimitar Syndrome Repair

Imaging findings

Post-operative imaging shows the persistence of an anomalous Scimitar vein draining into the IVC despite a prior baffle repair. An interatrial communication/baffle dehiscence is visible with contrast shunting, alongside findings of a hypogenetic right lung, systemic arterial supply (inferior phrenic), and an aberrant right subclavian artery.

Key takeaways

Even after surgical correction, Scimitar syndrome repairs can experience delayed baffle failure or dehiscence, which may present with subtle clinical symptoms.

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