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弯刀综合征及其治疗进展

Scimitar syndrome and evolution of managements.

作者信息

Kahrom Mahdi, Kahrom Hadi

机构信息

Division of Cardiothoracic Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Pan Afr Med J. 2009 Dec 17;3:20.

PMID:21532729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2984288/
Abstract

The Scimitar syndrome is a rare congenital anomaly that consists in part of total or partial anomalous venous drainage of the right lung to the inferior vena cava (IVC). This descending vein is visible on CXR as a curvilinear density along the right heart border and resembles the curved Turkish sword that gives the condition its name. Scimitar syndrome forms part of the large spectrum of associated conditions known as venolobar syndrome. These include right lung hypoplasia or sequestered segments of the right lung, congenital heart disease and various others. Surgical approaches to the Scimitar syndrome have varied according to the anatomic and pathologic features presented in each case. Here we review the clinical signs and symptoms, diagnostic dilemmas, current medical and surgical managements of Scimitar syndrome.

摘要

弯刀综合征是一种罕见的先天性异常,部分表现为右肺全部或部分静脉血异常引流至下腔静脉。这条下行静脉在胸部X线片上表现为沿右心缘的曲线状致密影,形似弯曲的土耳其弯刀,该病即因此得名。弯刀综合征是静脉叶综合征这一广泛相关病症谱的一部分。这些病症包括右肺发育不全或右肺隔离肺段、先天性心脏病及其他各种疾病。针对弯刀综合征的手术方法因每个病例呈现的解剖和病理特征而异。在此,我们综述弯刀综合征的临床体征和症状、诊断难题以及当前的内科和外科治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/db4be02e3406/pamj-03-20-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/dc525a8aba6e/pamj-03-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/5f9b01227322/pamj-03-20-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/db4be02e3406/pamj-03-20-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/dc525a8aba6e/pamj-03-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/5f9b01227322/pamj-03-20-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a87f/2984288/db4be02e3406/pamj-03-20-g003.jpg

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引用本文的文献

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Unveiling a Unique Case of Scimitar Syndrome: Clinical Significance and Multidisciplinary Management Challenges in Pakistan.揭示弯刀综合征的一个独特病例:巴基斯坦的临床意义及多学科管理挑战
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Scimitar syndrome with large atrial septal defect and a rare partial anomalous venous drainage in an adult: a case report.成人弯刀综合征合并大型房间隔缺损及罕见的部分性肺静脉异位引流:一例报告
Eur Heart J Case Rep. 2023 Sep 11;7(10):ytad453. doi: 10.1093/ehjcr/ytad453. eCollection 2023 Oct.
3
Perioperative Management of Scimitar Syndrome Mimicking Total Anomalous Pulmonary Venous Return Posing a Diagnostic Dilemma: A Compilation of Two Cases.

本文引用的文献

1
Late presentation and successful treatment of classical scimitar syndrome.典型弯刀综合征的延迟诊断与成功治疗
Images Paediatr Cardiol. 2003 Jul;5(3):49-62.
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Scimitar syndrome: report of a case and its surgical management.弯刀综合征:一例报告及其手术治疗
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Cureus. 2021 Oct 28;13(10):e19107. doi: 10.7759/cureus.19107. eCollection 2021 Oct.
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A Very Rare Combination: two Scimitar Veins and a Myocardial Bridge.一种非常罕见的组合:两条弯刀静脉和一个心肌桥。
Braz J Cardiovasc Surg. 2020 Apr 1;35(2):229-231. doi: 10.21470/1678-9741-2018-0240.
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Variants in myelin regulatory factor (MYRF) cause autosomal dominant and syndromic nanophthalmos in humans and retinal degeneration in mice.髓鞘调节因子 (MYRF) 的变异导致人类常染色体显性遗传和综合征性小眼球症,并导致小鼠的视网膜变性。
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Infantile scimitar syndrome with unusual associations.伴有异常关联的婴儿期弯刀综合征
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Surgical Correction of Anomalous Pulmonary Venous Connection.异常肺静脉连接的手术矫正
Ann Surg. 1962 Aug;156(2):234-50. doi: 10.1097/00000658-196208000-00009.
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Isolated left-sided scimitar vein connecting all left pulmonary veins to the right inferior vena cava.孤立的左侧弯刀状静脉,将所有左肺静脉连接至右下腔静脉。
Pediatr Cardiol. 2005 Nov-Dec;26(6):846-7. doi: 10.1007/s00246-005-0920-9.
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Scimitar syndrome.弯刀综合征
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Observations on experimental atriovenous anastomoses, with particular reference to congenital anomalies of the venous return to the heart, and to cyanosis.关于实验性动静脉吻合术的观察,特别涉及到心脏静脉回流的先天性异常以及发绀。
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