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Double venous drainage in scimitar syndrome. Ideal anatomy for percutaneous complete cure

Published online by Cambridge University Press:  04 February 2011

Georgia Sarquella-Brugada*
Affiliation:
Department of Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
Fredy Prada
Affiliation:
Department of Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
Carlos Mortera
Affiliation:
Department of Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
*
Correspondence to: G. Sarquella-Brugada, MD, Department of Cardiology, Hospital Sant Joan de Déu, Avinguda de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Spain. Tel: +34636578184; Fax: +34972590265; E-mail: [email protected]

Abstract

Congenital venolobular or scimitar syndrome is a rare congenital cardiopulmonary anomaly consisting in a partial anomalous pulmonary venous drainage, lung hypoplasia, and anomalous systemic arterial supply to the lung. It can associate with other congenital disorders which will confer the clinical presentation and prognosis of these patients. In most of the cases, the therapeutic approach is partial, as anatomy allows only aberrant arterial embolisation. We present a 6-year-old girl with recurrent pulmonary infections, diagnosed as scimitar syndrome with double collector drainage to the inferior caval vein and left atrium, undergoing interventional catheterisation for complete correction of her disorder. The anomalous systemic artery supply was embolised and the anomalous venous drainage was occluded. The patient was asymptomatic during follow-up, which supports the interventional catheterisation approach as a valid therapeutic option in cases of scimitar syndrome with double venous drainage.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1. Halasz, NA, Halloran, KH, Liebow, AA. Bronchial and arterial anomalies with drainage of the right lung into the inferior vena cava. Circulation 1956; 14: 826846.CrossRefGoogle ScholarPubMed
2. Neill, CA, Ferencz, C, Sabiston, DC, Sheldon, H. The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage “scimitar syndrome”. Bull Johns Hopkins Hosp 1960; 107: 121.Google ScholarPubMed
3. Berrocal, T, Madrid, C, Novo, S, Gutierrez, J, Arjonilla, A, Gomez-Leon, N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 2004; 24: e17.CrossRefGoogle ScholarPubMed
4. Rutledge, JM, Hiatt, PW, Wesley Vick, G 3rd, Grifka, RG. A sword for the left hand: an unusual case of left-sided scimitar syndrome. Pediatr Cardiol 2001; 22: 350352.CrossRefGoogle ScholarPubMed
5. Ruggieri, M, Abbate, M, Parano, E, Distefano, A, Guarnera, S, Pavone, L. Scimitar vein anomaly with multiple cardiac malformations, craniofacial, and central nervous system abnormalities in a brother and sister: familial scimitar anomaly or new syndrome? Am J Med Genet A 2003; 116: 170175.CrossRefGoogle Scholar
6. Cabrera, A, Sarrionandia, JJ, Idigoras, G, et al. Scimitar syndrome in the newborn child and infant. Rev Esp Cardiol 1989; 42: 322328.Google ScholarPubMed
7. Bratu, I, Flageole, H, Chen, MF, Di Lorenzo, M, Yazbeck, S, Laberge, JM. The multiple facets of pulmonary sequestration. J Pediatr Surg 2001; 36: 784790.CrossRefGoogle ScholarPubMed
8. Dickinson, DF, Galloway, RW, Massey, R, Sankey, R, Arnold, R. Scimitar syndrome in infancy. Role of embolisation of systemic arterial supply to right lung. Br Heart J 1982; 47: 468472.CrossRefGoogle ScholarPubMed
9. Lee, ML, Yang, SC, Yang, AD. Transcatheter occlusion of the isolated scimitar vein anomaly camouflaged under dual pulmonary venous drainage of the right lung by the Amplatzer Ductal Occluder. Int J Cardiol 2007; 115: e90e93.CrossRefGoogle Scholar
10. Muta, H, Akagi, T, Iemura, M, Kato, H. Coil occlusion of aortopulmonary collateral arteries in an infant with scimitar syndrome. Jpn Circ J 1999; 63: 729731.CrossRefGoogle Scholar