Portal de Periódicos da CAPES

Three-Dimensional Computed Tomography Showing Partial Anomalous Pulmonary Venous Connection Complicated by the Scimitar Syndrome

2002; Lippincott Williams & Wilkins; Volume: 105; Issue: 5 Linguagem: Inglês

10.1161/hc0502.101512

1524-4539

Teruo Inoue, Michiko Ichihara, Toshihiko Uchida, Yoshihiko Sakai, Terumi Hayashi, Shigenori Morooka,

Tracheal and airway disorders

HomeCirculationVol. 105, No. 5Three-Dimensional Computed Tomography Showing Partial Anomalous Pulmonary Venous Connection Complicated by the Scimitar Syndrome Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBThree-Dimensional Computed Tomography Showing Partial Anomalous Pulmonary Venous Connection Complicated by the Scimitar Syndrome Teruo Inoue, MD, Michiko Ichihara, MD, Toshihiko Uchida, MD, Yoshihiko Sakai, MD, Terumi Hayashi, MD and Shigenori Morooka, MD Teruo InoueTeruo Inoue From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. , Michiko IchiharaMichiko Ichihara From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. , Toshihiko UchidaToshihiko Uchida From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. , Yoshihiko SakaiYoshihiko Sakai From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. , Terumi HayashiTerumi Hayashi From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. and Shigenori MorookaShigenori Morooka From the Department of Cardiology, Koshigaya Hospital Dokkyo University School of Medicine, Saitama, Japan. Originally published5 Feb 2002https://doi.org/10.1161/hc0502.101512Circulation. 2002;105:663The patient is a 41-year-old woman who was referred to our hospital because of an abnormal chest radiograph. On admission, she was asymptomatic, but her cardiac silhouette was shifted to the right on chest radiograph. From contrast-enhanced chest computed tomography (CT), we suspected that the right upper pulmonary vein connected to the inferior vena cava. The CT also revealed hypoplasia of the right lung. The 3-dimensional imaging reconstructed from the CT clearly showed the right upper pulmonary vein connected to the inferior vena cava (Figure). During cardiac catheterization, oxymetry sampling showed a step up of the blood oxygen content at the inferior vena cava level just below the border of the right atrium, which indicated left-to-right shunting at this level. In addition, the upper pulmonary venous drainage into the inferior vena cava was also shown by pulmonary arteriography. This partial anomalous pulmonary venous connection associated with hypoplasia of the right lung and dextroposition of the heart is designated Scimitar Syndrome. Left-to-right shunt was slight and pulmonary hypertension was not present. Consequently, no surgical treatment was required. Download figureDownload PowerPointThree-dimensional imaging in the right anterior oblique view, reconstructed from contrast-enhanced computed tomography. The image clearly shows that the right upper pulmonary vein was connected to the inferior vena cava (arrow).The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St.Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editoral Office, St.Luke's Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MCI-267, Houston, TX 77030.FootnotesCorrespondence to Teruo Inoue, MD, Dept of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minamikoshigaya, Koshigaya-City, Saitama 343-8555, Japan. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Cruz-Galbán A, Ruiz-Cantador J, González-García A, Egorova A, Sinning C, Ahmed A, Ngo L and Chakir M (2021) Atypical presentation of scimitar syndrome with severe hepatomegaly: a case report, European Heart Journal - Case Reports, 10.1093/ehjcr/ytab280, 5:8, Online publication date: 1-Aug-2021. Nooka Raju V, A A, Durgaprasad Naik B, Vijaysai V and Prasad N S V (2017) SCIMITAR SYNDROME WITH UNILOBAR RIGHT LUNG– A CASE REPORT, Journal of Evolution of Medical and Dental Sciences, 10.14260/Jemds/2017/427, 6:23, (1950-1952), Online publication date: 20-Mar-2017. Di Salvo G and Yoo S (2017) Diagnosis and Imaging The Complete Reference for Scimitar Syndrome, 10.1016/B978-0-12-810406-4.00006-0, (67-90), . Awasthy N, Tomar M, Radhakrishnan S and Iyer K (2014) Scimitar syndrome: A novel management approach for palliation in a sick infant, Journal of Cardiology Cases, 10.1016/j.jccase.2014.04.008, 10:2, (48-50), Online publication date: 1-Aug-2014. Ormeci T and Gunluoglu M (2014) Scimitar syndrome associated with gallbladder duplication, Clinical Imaging, 10.1016/j.clinimag.2013.12.015, 38:3, (346-349), Online publication date: 1-May-2014. Michail M, Asrress K, Joshi A, Giles J, Khawaja M and McWilliams E (2012) Re-Sheathing the Scimitar Syndrome, Advances in Computed Tomography, 10.4236/act.2012.13005, 01:03, (21-22), . Ramirez-Marrero M and de Mora-Martin M (2012) Scimitar Syndrome in an Asymptomatic Adult: Fortuitous Diagnosis by Imaging Technique, Case Reports in Vascular Medicine, 10.1155/2012/138541, 2012, (1-3), . Korkmaz A, Yildiz C, Onan B, Guden M, Cetin G and Babaoglu K (2011) Scimitar Syndrome: A Complex Form of Anomalous Pulmonary Venous Return, Journal of Cardiac Surgery, 10.1111/j.1540-8191.2011.01309.x, 26:5, (529-534), Online publication date: 1-Sep-2011. Midyat L, Demir E, Aşkın M, Gülen F, Ülger Z, Tanaç R and Bayraktaroğlu S (2010) Eponym, European Journal of Pediatrics, 10.1007/s00431-010-1152-4, 169:10, (1171-1177), Online publication date: 1-Oct-2010. Siegel M (2010) Computed Tomography of Pediatric Cardiovascular Disease, Journal of Thoracic Imaging, 10.1097/RTI.0b013e3181cf8031, 25:3, (256-266), Online publication date: 1-Aug-2010. Chernyak B, Lesnyak V, Kemezh Y, Lebedev D, Bubnov V, Drobyazko O, Surova A and Aleksandrova A (2010) SINDROM «TURETsKOY SABLI»U ShESTIDESYaTILETNEGO PATsIENTA, Journal of Clinical Practice, 10.17816/clinpract117-8, 1:1, (7-8) de Castro García F, Santos Sánchez J and Gutiérrez Díez J (2007) Casos en Imagen: 2.—Síndrome de la cimitarra, Radiología, 10.1016/S0033-8338(07)73798-0, 49:5, (322-371), Online publication date: 1-Sep-2007. Lachman R (2007) S Taybi and Lachman's Radiology of Syndromes, Metabolic Disorders and Skeletal Dysplasias, 10.1016/B978-0-323-01931-6.50027-X, (714-779), . Espinola-Zavaleta N, Játiva-Chávez S, Muñoz-Castellanos L and Zamora-González C (2006) Aspectos clínicos y ecocardiográficos del síndrome de la cimitarra, Revista Española de Cardiología, 10.1157/13086088, 59:3, (284-288), Online publication date: 1-Mar-2006. Espinola-Zavaleta N, Játiva-Chávez S, Muñoz-Castellanos L and Zamora-González C (2006) Clinical and Echocardiographic Characteristics of Scimitar Syndrome, Revista Española de Cardiología (English Edition), 10.1016/S1885-5857(06)70034-2, 59:3, (284-288), Online publication date: 1-Mar-2006. Lawler L and Fishman E 2D and 3D Visualization of Thoracic MDCT Data Multidetector-Row CT of the Thorax, 10.1007/3-540-30006-6_24, (347-361) Boxt L (2004) Magnetic resonance and computed tomographic evaluation of congenital heart disease, Journal of Magnetic Resonance Imaging, 10.1002/jmri.20077, 19:6, (827-847), Online publication date: 1-Jun-2004. Goo H, Park I, Ko J, Kim Y, Seo D, Yun T, Park J and Yoon C (2003) CT of Congenital Heart Disease: Normal Anatomy and Typical Pathologic Conditions, RadioGraphics, 10.1148/rg.23si035501, 23:suppl_1, (S147-S165), Online publication date: 1-Oct-2003. LAWLER L, CORL F and FISHMAN E (2003) Pathology of the Thoracic Venous System: Multidetector Row CT and 3D Volume-rendered Angiography, The Radiologist, 10.1097/01.rad.0000079870.92422.59, 10:4, (199-207), Online publication date: 1-Jul-2003. MORDUE B (2003) A CASE SERIES OF FIVE INFANTS WITH SCIMITAR SYNDROME, Advances in Neonatal Care, 10.1097/00149525-200306000-00004, 3:3, (121-132), Online publication date: 1-Jun-2003. MORDUE B (2003) A CASE SERIES OF FIVE INFANTS WITH SCIMITAR SYNDROME, Advances in Neonatal Care, 10.1016/S1536-0903(03)00106-1, 3:3, (121-132), Online publication date: 1-Jun-2003. Lawler L and Fishman E (2003) Thoracic venous anatomy, Radiologic Clinics of North America, 10.1016/S0033-8389(03)00034-4, 41:3, (545-560), Online publication date: 1-May-2003. February 5, 2002Vol 105, Issue 5 Advertisement Article InformationMetrics https://doi.org/10.1161/hc0502.101512 Originally publishedFebruary 5, 2002 PDF download Advertisement