© 2005 Fellowship of Postgraduate Medicine
IMAGES IN MEDICINE
Scimitar syndrome (congenital pulmonary venolobar syndrome)
Department of Respiratory and General Medicine, Derriford Hospital, Plymouth, UK
Correspondence to:
Correspondence to:
Dr A Khan
Department of Respiratory and General Medicine, Derriford Hospital, Plymouth PL6 8DH, UK; Ayaz.khan@phnt.swest.nhs.uk
Keywords: anomalous pulmonary vein; congenital heart lesion; hypoplastic lung
| The first 150 words of the full text of this article appear below. |
A 19 year old woman was referred for left sided chest pain. There were no other symptoms but a day earlier she had been lifting heavy boxes. Her examination was entirely normal except for left sided localised chest wall tenderness. A clinical diagnosis of musculoskeletal chest pain was made. Her ECG and the rest of the baseline laboratory tests were normal. Her chest radiograph (fig 1
(A)) shows a small right hemithorax and an anomalous pulmonary vein on the right side (arrows). The magnetic resonance imaging scan (fig 1 (B)) shows that the anomalous vein (arrows) is draining into the right atrium (RA). The hypoplastic right lung and anomalous pulmonary vein confirmed that she had congenital pulmonary venolobar syndrome also known as scimitar syndrome. The name scimitar comes from the anomalous pulmonary vein that courses along the right cardiac margin as a curvilinear shadow and is said to resemble a
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