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Scimitar syndrome in neonates: Report of four cases and review of the literature

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Summary

Four neonates with scimitar syndrome are presented. Three of the cases had congenital cardiovascular abnormalities not usually regarded as part of the scimitar syndrome, namely, ventricular septal defect, abnormalities of the aortic arch, and abnormal relationship of the pulmonary arteries and bronchi. Review of the literature indicates that among subjects of all ages the incidence of additional congenital heart disease is 24%; in patients within the pediatric age group the incidence is about 36% and is highest (75%) among those subjects having diagnostic studies while neonates.

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References

  1. Ali MK, El-Guindy M, Shullenberger CC (1977) Regional pulmonary function in scimitar syndrome.Chest 71:779–781

    CAS  PubMed  Google Scholar 

  2. Bessolo RJ, Maddison FE (1968) Scimitar syndrome: report of a case with unusual variations.Am J Roentgenol 103:572–576

    CAS  Google Scholar 

  3. Chassinat R (1836) Observation d'anomalies anatomiques remarquables de l'appareil circulatoire, avec hepatocele congeniale, n'ayant donne lieu pendant la vie a aucun symptome particulier.Arch Gen Med 11:80–91

    Google Scholar 

  4. Derksen OS (1977) Scimitar syndrome and pulmonary sequestration: pulmonary anomalies with persistent embryonic communications between the pulmonary and the systemic circulation.Radiol Clin (Basel) 46:81–93

    CAS  Google Scholar 

  5. Dickinson DF, Galloway RW, Massey R, Sankey R, Arnold R (1982) Scimitar syndrome in infancy: role of embolisation of systemic arterial supply to right lung.Br Heart J 47:468–472

    CAS  PubMed  Google Scholar 

  6. Farnsworth AE, Ankeney JL (1974) The spectrum of the scimitar syndrome.J Thorac Cardiovasc Surg 68:37–42

    CAS  PubMed  Google Scholar 

  7. Forst B, Tyson MC (1982) Embolisation of anomalous artery in scimitar vein syndrome.Radiography 48:93–94

    Google Scholar 

  8. Frye RL, Krebs M, Rahimtoola SH, Ongley PA, Hallermann FJ, Wallace RB (1968) Partial anomalous pulmonary venous connection without atrial septal defect.Am J Cardiol 22:242–250

    Article  CAS  PubMed  Google Scholar 

  9. Gazzaniga AB, Matloff JM, Harken DE (1969) Anomalous right pulmonary venous drainage into the inferior vena cava and left atrium.J Thorac Cardiovasc Surg 57:251–254

    CAS  PubMed  Google Scholar 

  10. Glancy DL, Braunwald NS, O'Brien KP, Roberts WC (1968) Scimitar syndrome associated with patent ductus arteriosus, aortic coarctation and irreversible pulmonary hypertension.Johns Hopkins Med J 123:297–304

    CAS  PubMed  Google Scholar 

  11. Gwinn JL, Barnes GR Jr (1967) Radiological case of the month. The scimitar syndrome. Anomalies of great vessels associated with lung hypoplasia.Am J Dis Child 114:585–586

    CAS  PubMed  Google Scholar 

  12. Halasz NA, Halloran KH, Liebow AA (1956) Bronchial and arterial anomalies with drainage of the right lung into the inferior vena cava.Circulation 14:826–846

    CAS  PubMed  Google Scholar 

  13. Hayward RH, Martt JM, Brewer LM, Inmon TM, Best EB (1972) Surgical correction of the vena cava-bronchovascular complex: developmental pulmonary, arterial, and venous anomalies with accessory diaphragm.J Thorac Cardiovasc Surg 64:203–210

    CAS  PubMed  Google Scholar 

  14. Hollis WJ (1964) The scimitar anomaly with absent right pulmonary artery.Am J Cardiol 14:262–265

    Article  Google Scholar 

  15. Honey M (1977) Anomalous pulmonary venous drainage of right lung to inferior vena cava (“scimitar syndrome”): clinical spectrum in older patients and role of surgery.Q J Med 46:463–483

    CAS  PubMed  Google Scholar 

  16. Johnson JB, Chun SK, Young RC Jr, McCampbell EL (1972) Scimitar syndrome: anomalous venous drainage of the right lung into the inferior vena cava with malformation of pulmonary structure. A report of two cases.J Natl Med Assoc 64:297–301

    CAS  PubMed  Google Scholar 

  17. Jue KL, Amplatz K, Adams P Jr, Anderson RC (1966) Anomalies of great vessels associated with lung hypoplasia: the scimitar syndrome.Am J Dis Child 111:35–44

    CAS  PubMed  Google Scholar 

  18. Kiely B, Filler J, Stone S, Doyle EF (1967) Syndrome of anomalous venous drainage of the right lung to the inferior vena cava: a review of 67 reported cases and three new cases in children.Am J Cardiol 20:102–116

    Article  Google Scholar 

  19. Kuiper-Oosterwal CH, Moulaert A (1973) The scimitar syndrome in infancy and childhood.Eur J Cardiol 1:55–61

    CAS  PubMed  Google Scholar 

  20. Mardini MK, Sakati NA, Lewall DB, Christie R, Nyhan WL (1982) Scimitar syndrome.Clin Pediatr 21:350–354

    CAS  Google Scholar 

  21. Massumi RA, Alwan AO, Hernandez TJ, Just HG, Tawakkol AA (1967) The scimitar syndrome: a physiologic explanation for the associated dextroposition of the heart, maldevelopment of the right lung and its artery, and for the systemic collateral supply to the lung.J Thorac Cardiovasc Surg 53:623–633

    CAS  PubMed  Google Scholar 

  22. Mathey J, Galey JJ, Logeais Y, Santoro E, Vanetti A, Maurel A, Wuerflein R (1968) Anomalous pulmonary venous return into inferior vena cava and associated bronchovascular anomalies (the scimitar syndrome): report of three cases and review of the literature.Thorax 23:398–407

    CAS  PubMed  Google Scholar 

  23. Moore C, Massie E, Schad N, Parker B, Berg L, Pierce J, Oliver GC, Kissane J, Weldon C (1970) Clinico-pathological conference: scimitar syndrome.Am J Med 48:750–758

    Google Scholar 

  24. Murphy JW, Kerr AR, Kirklin JW (1971) Intracardiac repair for anomalous pulmonary venous connection of right lung to inferior vena cava.Ann Thorac Surg 11:38–42

    CAS  PubMed  Google Scholar 

  25. Neill CA, Ferencz C, Sabiston DC, Sheldon H (1960) The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage “scimitar syndrome”.Bull Johns Hopkins Hosp 107:1–15

    CAS  PubMed  Google Scholar 

  26. Osborn AG, Silverman JF (1974) Unusual venous drainage patterns in the scimitar syndrome.Radiology 113:601–603

    CAS  PubMed  Google Scholar 

  27. Puig-Massana M, Murtra M, Revuelta JM (1972) A new technique in the correction of partial anomalous pulmonary venous drainage.J Thorac Cardiovasc Surg 64:108–113

    CAS  PubMed  Google Scholar 

  28. Shadravan I, Fowler RL, Puyau FA (1974) Scimitar syndrome associated with central nervous system anomalies.J La State Med Soc 126:201–203

    CAS  PubMed  Google Scholar 

  29. Snellen HA, Van Ingen HC, Hoefsmit EChM (1968) Patterns of anomalous pulmonary venous drainage.Circulation 38:45–63

    CAS  PubMed  Google Scholar 

  30. Steinberg I (1959) Roentgen diagnosis of anomalous pulmonary venous drainage of right lung into inferior vena cava: report of three new cases.Am J Roentgenol 81:280–289

    CAS  Google Scholar 

  31. Thisyakorn C (1976) Scimitar syndrome: report of a case with lung scanning study.J Med Assoc Thai 59:30–35

    CAS  PubMed  Google Scholar 

  32. Thomas TV, Gumucio ML, Premsingh H (1978) Scimitar syndrome.J Kans Med Soc 79:547–549

    CAS  PubMed  Google Scholar 

  33. Tobin GR, Anderson RM, Arem AJ (1977) Correction of anomalous subdiaphragmatic inferior vena caval drainage of the right pulmonary veins (scimitar syndrome).Ann Thorac Surg 23:267–270

    CAS  PubMed  Google Scholar 

  34. Tsitouris G, Lekos D, Vassilikos C, Corcondilas A (1973) Bronchospirometric findings in scimitar syndrome and a new method for the differentiation of anomalous venous drainage from atrial septal defect.Chest 63:278–281

    CAS  PubMed  Google Scholar 

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This study was supported by the Saint Paul Foundation, Parents-For-Heart, the Minnesota Medical Foundation, and the Dwan Family Fund.

Supported by the Department of Medicine, University of Nairobi, Kenya.

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Gikonyo, D.K., Tandon, R., Lucas, R.V. et al. Scimitar syndrome in neonates: Report of four cases and review of the literature. Pediatr Cardiol 6, 193–197 (1986). https://doi.org/10.1007/BF02310997

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