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[Combined valvular disease with the scimitar triad: a case report]
1First Department of Internal Medicine, Tokai University School of Medicine, Isehara.
Journal of Cardiology
|March 1, 1988
Summary
This case report details a rare instance of combined valvular disease presenting with the scimitar sign. Advanced imaging confirmed an anomalous pulmonary vein, highlighting the importance of computed tomography in diagnosing scimitar syndrome.
Area of Science:
- Cardiology
- Radiology
- Pulmonology
Background:
- Combined valvular disease can lead to congestive heart failure.
- The scimitar sign on chest radiography suggests specific pulmonary and cardiac anomalies.
Observation:
- A 48-year-old woman presented with heart failure secondary to valvular disease.
- Radiography showed right lung hypoplasia, dextroposition of the heart, and a scimitar sign.
- Computed tomography (CT) and lung scans revealed further details of the anomalous pulmonary vein and reduced right lung perfusion.
Findings:
- A rare case of scimitar sign associated with combined valvular disease and an anomalous right pulmonary vein draining into the left atrium was identified.
- Right heart catheterization showed elevated right-sided pressures without a shunt.
- Only five similar cases have been previously reported.
Implications:
- Computed tomography of the chest is crucial for evaluating patients with radiological evidence of the scimitar sign.
- This case underscores the diagnostic utility of advanced imaging in rare cardiovascular and pulmonary conditions.
- Accurate diagnosis of scimitar syndrome aids in appropriate patient management and understanding of its pathophysiology.