Related Experiment Video
Updated: Dec 12, 2025
04:08
Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
1.0K
Scimitar Syndrome: Late Presentation and Conservative Management.
Mohanad Saleh1, Murad Abdelsalam2, Anupam A Sule1
1Department of Internal Medicine, St. Joseph Mercy Oakland, Pontiac, USA.
Cureus
|August 9, 2020
Summary
Partial anomalous pulmonary venous return, a rare congenital defect, can manifest as Scimitar syndrome. This case highlights incomplete Scimitar syndrome in an adult, managed non-surgically due to its unique presentation.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Thoracic Surgery
Background:
- Partial anomalous pulmonary venous return (PAPVR) is a rare congenital malformation.
- Scimitar syndrome, an infracardiac PAPVR variant, typically presents in infancy or childhood.
- Adult presentation of Scimitar syndrome is uncommon.
Observation:
- A 70-year-old woman presented with worsening dyspnea.
- Echocardiography indicated severe pulmonary hypertension, confirmed by right heart catheterization.
- Computed tomography revealed an anomalous vein from the right upper lobe, consistent with Scimitar syndrome.
Findings:
- The patient had incomplete Scimitar syndrome, lacking other congenital heart defects.
- Pulmonary hypertension was the primary clinical manifestation.
- The anomalous venous drainage involved only the right upper lobe.
Implications:
- Incomplete Scimitar syndrome can present in late adulthood with pulmonary hypertension.
- Non-surgical management may be appropriate for incomplete Scimitar syndrome, avoiding surgical risks.
- This case expands the understanding of Scimitar syndrome's varied clinical spectrum and management.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
206
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
206
01:26Mitral Stenosis III: Medical Management
151
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
151
01:17Pericarditis III: Medical Management
169
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
169
01:21Inflammatory Bowel Disease V: Surgical Management
338
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
338
01:26Esophageal Strictures-II: Clinical Features and Management
302
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
302
01:28Angle Closure Glaucoma: Treatment
1000
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1000