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Infantile Scimitar Syndrome With Contralateral Pulmonary Vein Stenosis and Refractory Pulmonary Hypertension
Janelle Buysse1, Ramya Deepthi Billa2, Daniel McLennan1
1Pediatric Cardiology, University of Iowa Stead Family Children's Hospital, Iowa City, USA.
Insights
Infantile scimitar syndrome can cause difficult-to-manage pulmonary hypertension. This case highlights contralateral pulmonary vein stenosis as a rare complication and the need for monitoring.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Pulmonary Hypertension
Background:
- Infantile scimitar syndrome is a rare congenital heart defect.
- Pulmonary hypertension is a known complication, often challenging to manage.
Observation:
- A three-month-old infant with scimitar syndrome developed refractory pulmonary hypertension.
- Further investigation revealed contralateral pulmonary vein stenosis.
Findings:
- Contralateral pulmonary vein stenosis is a rare finding in scimitar syndrome.
- Refractory pulmonary hypertension in this context poses significant management difficulties.
Implications:
- This case underscores the importance of serial cardiac catheterizations for patients with severe pulmonary hypertension and scimitar syndrome.
- Early identification of associated venous anomalies may improve patient outcomes.
Abstract:
Infantile scimitar syndrome is associated with pulmonary hypertension which can be difficult to manage. We present a three-month-old infant with scimitar syndrome, who eventually developed refractory pulmonary hypertension, posing a significant management challenge. Further workup demonstrated contralateral pulmonary vein stenosis, which is rarely described in scimitar syndrome. Our index case highlights the importance of follow-up cardiac catheterizations in these patients with severe pulmonary hypertension.
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