Singh Arvind Sahadev, Sivakumar Kothandam
Department of Cardiology, Seven Star Hospital, Nagpur, Maharashtra, India.
Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Ann Pediatr Cardiol. 2020 Oct-Dec;13(4):343-345. doi: 10.4103/apc.APC_141_19. Epub 2020 Sep 1.
Scimitar syndrome is a clinical triad of anomalous pulmonary venous drainage, lung hypoplasia, and anomalous aortic blood supply to the lung segment. When there is dual pulmonary venous drainage both to inferior vena cava and left atrium, it is called scimitar variant. A young child presenting with recurrent chest infections, dextroposition of the heart, and scimitar shadow on chest X-ray was identified to have scimitar variant after a detailed evaluation and managed successfully by catheter interventions. This report discusses the embryogenesis and angiographic findings of scimitar variants, indications for interventions, and issues in its management.
弯刀综合征是一种具有异常肺静脉引流、肺发育不全以及肺段异常主动脉血供的临床三联征。当存在同时向下腔静脉和左心房的双肺静脉引流时,称为弯刀综合征变异型。一名因反复肺部感染、心脏右旋以及胸部X线显示弯刀状阴影前来就诊的幼儿,经过详细评估后被确诊为弯刀综合征变异型,并通过导管介入治疗成功治愈。本报告讨论了弯刀综合征变异型的胚胎发生、血管造影表现、介入治疗指征及其治疗中的问题。