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Scimitar syndrome.

Muktachand L Rokade1, R V Rananavare, Devdas S Shetty

  • 1Department of Radiology, Topiwala National Medical College and B.Y.L. Nair Charitable Hospital, Dr. A.L. Nair Road, Mumbai, India.

Indian Journal of Pediatrics
|April 7, 2005
PubMed
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Scimitar syndrome, a rare partial anomalous pulmonary venous connection, was diagnosed in a neonate with respiratory distress. Thoracic ultrasound confirmed the diagnosis in this infant.

Area of Science:

  • Cardiology
  • Pediatric Medicine
  • Medical Imaging

Background:

  • Scimitar syndrome is a rare congenital anomaly characterized by partial anomalous pulmonary venous connection (PAPVC).
  • It involves the drainage of pulmonary veins into the systemic circulation, typically the inferior vena cava.
  • This condition can lead to significant cardiopulmonary complications if not identified.

Observation:

  • A ten-day-old neonate presented with clinical signs of respiratory distress.
  • Diagnostic imaging was initiated to investigate the cause of the infant's symptoms.
  • Thoracic ultrasound was employed as the primary imaging modality.

Findings:

  • The neonate was diagnosed with Scimitar syndrome.
  • The anomaly involved partial pulmonary venous drainage into the hepatic portion of the inferior vena cava.

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  • Ultrasound imaging successfully identified the characteristic features of the syndrome.

    • Implications:

    • Early diagnosis of Scimitar syndrome in neonates is crucial for timely intervention.
    • Thoracic ultrasound is an effective non-invasive tool for diagnosing this rare anomaly in infants.
    • Prompt management can prevent severe cardiopulmonary sequelae in affected neonates.