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Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
06:48

Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins

Published on: October 28, 2020

Isolated and complex scimitar vein anomalies and their differentiation from the meandering right pulmonary vein

Meng-Luen Lee1

  • 1Department of Pediatrics, Division of Pediatric Cardiology, Changhua Christian Hospital, No. 135, Nanhsiao St., Changhua 50050, Taiwan. ferdielee@yahoo.com

Yonsei Medical Journal
|December 27, 2007
PubMed

Insights

Scimitar vein anomalies in children present with varied symptoms, including infections and heart failure. Differentiating types of scimitar vein anomaly is vital for patient outcomes.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Scimitar vein anomaly is a rare congenital condition affecting pulmonary venous return.
  • It can occur in isolated or complex forms, with varying associated malformations.

Purpose of the Study:

  • To review and compare pediatric patients with isolated and complex scimitar vein anomalies.
  • To analyze clinical presentations and diagnostic findings in these patients.

Main Methods:

  • Retrospective study of 4 female pediatric patients (2 days to 3.5 years) with scimitar vein anomalies.
  • Review of clinical features, imaging (radiography, echocardiography, MRI, MRA, CT), bronchography, cardiac catheterization, surgery, and autopsy records.

Main Results:

  • Clinical manifestations included lung infections, respiratory distress, heart failure, pulmonary hypertension, cyanosis, dextrocardia, heterotaxy, and right atrial isomerism.
  • Two patients with right atrial isomerism expired, highlighting the severity of complex cases.

Conclusions:

  • Clinical differentiation between scimitar vein anomaly with and without cardiovascular and bronchopulmonary malformations is critical.
  • Accurate diagnosis and classification are essential for predicting patient outcomes.
Abstract

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