Althomali Sarah Ali, Alhefny Ashraf Ahmad, Almalki Mohammad Salih
Internal Medicine Department, King Abdulaziz Specialist Hospital, Taif City, Saudi Arabia.
BMJ Case Rep. 2017 May 15;2017:bcr-2017-219952. doi: 10.1136/bcr-2017-219952.
Scimitar syndrome is the constellation of malformations including an abnormal venous drainage of the right lung into the inferior vena cava, associated with the right lung and systemic supply to the right lung. The anomalous vein looks like the curved, Turkish sword (scimitar), hence the name.The adult form of scimitar syndrome is rare, and it is usually an incidental diagnosis based on the characteristic finding on radiological imaging since the patients are usually asymptomatic or with minimal symptoms.Our patient presented with a rare presentation of scimitar syndrome, which is tachyarrhythmia (sinus tachycardia, with episodes of supraventricular tachycardia). The diagnosis of scimitar syndrome was made based on the typical radiological finding of the anomalous venous drainage on CT angiography. Our patient does not have the full spectrum of the scimitar syndrome; therefore, she did not suffer from the usual complication (pulmonary hypertension). She was treated with ablation without surgical intervention.
弯刀综合征是一组畸形,包括右肺异常静脉引流至下腔静脉,并伴有右肺及右肺的体循环供血。异常静脉形似弯曲的土耳其剑(弯刀),因此得名。成人型弯刀综合征较为罕见,通常因患者通常无症状或症状轻微,基于放射影像学的特征性表现而偶然诊断。我们的患者表现为弯刀综合征的罕见症状,即快速性心律失常(窦性心动过速,伴有室上性心动过速发作)。弯刀综合征的诊断基于CT血管造影上异常静脉引流的典型放射学表现。我们的患者并不具备完整的弯刀综合征表现;因此,她没有出现常见的并发症(肺动脉高压)。她接受了消融治疗,未进行手术干预。