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Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1963 Jan 19;88(3):115–120.

The Scimitar Syndrome

Report of Two Cases of Anomalous Venous Return from a Hypoplastic Right Lung to the Inferior Vena Cava

Martial G Bourassa
PMCID: PMC1921002  PMID: 14014422

Abstract

An unusual association of malformations of the right lung was observed in two patients, and 36 similar cases were briefly reviewed. Findings included: (1) anomalous return of the right pulmonary veins, via a common channel, to the inferior vena cava, giving a typical radiological picture; (2) hypoplasia or absence of two major bronchi on the right side; (3) absence of the right pulmonary artery in one patient and hypoplasia in the other; (4) secondary dextroposition of the heart; (5) presence of a left-to-right shunt, through this abnormal circulation, varying from very small in one patient to more than 30% of the pulmonary blood flow in the other. When found together, these anomalies constitute a specific entity, the scimitar syndrome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BENDER F., HILGENBERG F., JUNGEHULSING G. Dextrokardie mit Pulmonalvenentransposition bei partieller Lungenagenesie. Z Kreislaufforsch. 1957 Mar;46(5-6):172–179. [PubMed] [Google Scholar]
  2. BRAUNWALD E., LOMBARDO C. R., MORROW A. G. Drainage pathways of pulmonary veins in atrial septal defect. Br Heart J. 1960 Jun;22:385–390. doi: 10.1136/hrt.22.3.385. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. BRUWER A. J. Posteroanterior chest roentgenogram in two types of anomalous pulmonary venous connection. J Thorac Surg. 1956 Jul;32(1):119–134. [PubMed] [Google Scholar]
  4. COOKE F. N., EVANS J. M., KISTIN A. D., BLADES B. An anomaly of the pulmonary veins; a case study. J Thorac Surg. 1951 May;21(5):452–459. [PubMed] [Google Scholar]
  5. HALASZ N. A., HALLORAN K. H., LIEBOW A. A. Bronchial and arterial anomalies with drainage of the right lung into the inferior vena cava. Circulation. 1956 Nov;14(5):826–846. doi: 10.1161/01.cir.14.5.826. [DOI] [PubMed] [Google Scholar]
  6. KIRKLIN J. W., ELLIS F. H., Jr, WOOD E. H. Treatment of anomalous pulmonary venous connections in association with interatrial communications. Surgery. 1956 Mar;39(3):389–398. [PubMed] [Google Scholar]
  7. MANKIN H. T., BURCHELL H. B. Clinical considerations in partial anomalous pulmonary venous connection: report of 2 unusual cases. Proc Staff Meet Mayo Clin. 1953 Aug 26;28(17):463–472. [PubMed] [Google Scholar]
  8. McKUSICK V. A., COOLEY R. N. Drainage of right pulmonary vein into inferior vena cava; report of a case, with a radiologic analysis of the principal types of anomalous venous return from the lung. N Engl J Med. 1955 Feb 24;252(8):291–301. doi: 10.1056/NEJM195502242520801. [DOI] [PubMed] [Google Scholar]
  9. NEILL C. A., FERENCZ C., SABISTON D. C., SHELDON H. The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage "scimitar syndrome". Bull Johns Hopkins Hosp. 1960 Jul;107:1–21. [PubMed] [Google Scholar]
  10. SNELLEN H. A., ALBERS F. H. The clinical diagnosis of anomalous pulmonary venous drainage. Circulation. 1952 Dec;6(6):801–816. doi: 10.1161/01.cir.6.6.801. [DOI] [PubMed] [Google Scholar]
  11. STEINBERG I. Anomalous pulmonary venous drainage of right lung into inferior vena cava with malrotation of the heart: report of three cases. Ann Intern Med. 1957 Aug;47(2):227–240. doi: 10.7326/0003-4819-47-2-227. [DOI] [PubMed] [Google Scholar]

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