Scimitar syndrome is characterized by partial or total anomalous pulmonary venous return from the right lung. We present a 15-month-old boy who was diagnosed with Scimitar syndrome after examinations for recurrent wheezing and respiratory distress. The chest radiograph showed a scimitar sign in the right hemithorax, obscuring the contours of the right atrium. Echocardiography showed dilatation of the right heart cavities and increased flow in the inferior vena cava, without a cardiac abnormality. The patient underwent cardiac catheterization for radiographic and hemodynamic evaluations, during which a scimitar vein was detected, draining the right pulmonary veins to the inferior vena cava. Coil occlusion was performed on the abnormal artery arising from the infradiaphragmatic aorta. The patient was referred to surgery for repair of the anomalous pulmonary venous return and resection of the sequestered pulmonary segment.
[1]
L. Midyat,et al.
Eponym. Scimitar syndrome.
,
2010,
European journal of pediatrics.
[2]
Shu-Chien Huang,et al.
Scimitar syndrome: incidence, treatment, and prognosis
,
2008,
European Journal of Pediatrics.
[3]
A. Juraszek,et al.
Isolated Left-sided Scimitar Vein Connecting All Left Pulmonary Veins to the Right Inferior Vena Cava
,
2005,
Pediatric Cardiology.
[4]
W. Williams,et al.
Scimitar syndrome: twenty years' experience and results of repair.
,
1996,
The Journal of thoracic and cardiovascular surgery.
[5]
L. Benson,et al.
Scimitar syndrome in infancy.
,
1993,
Journal of the American College of Cardiology.