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Published on: September 25, 2020
The double scimitar sign.
Saileela Rajan1, Arun Sundaram2, Robert Coelho3
1Department of Pediatric Cardiology, MIOT Hospitals, Chennai, India.
This study highlights the rare "double sword appearance" in scimitar syndrome, a unique finding visible across multiple imaging techniques in a pediatric patient. These distinct imaging features aid in diagnosing this uncommon congenital heart defect.
Area of Science:
- Pediatric Radiology
- Cardiovascular Imaging
- Congenital Heart Disease
Background:
- Scimitar syndrome is a rare congenital anomaly characterized by anomalous venous return of the right lung to the inferior vena cava.
- Imaging diagnosis is crucial for management, but characteristic features can be subtle.
Purpose of the Study:
- To describe the unique imaging findings in a child with scimitar syndrome.
- To emphasize the diagnostic utility of the 'double sword appearance' across various imaging modalities.
Main Methods:
- Review of imaging studies including chest radiography, angiography, and computed tomography (CT) in a pediatric patient.
- Correlation of imaging findings with the diagnosis of scimitar syndrome.
Main Results:
- Demonstration of a rare and distinct 'double sword appearance' on chest radiography, angiography, and CT.
- The 'double sword appearance' represents the characteristic venous drainage pattern of scimitar syndrome.
Conclusions:
- The 'double sword appearance' is a striking and unique imaging feature of scimitar syndrome.
- Multimodality imaging is valuable for recognizing and diagnosing scimitar syndrome in children.
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