ABSTRACT
Scimitar syndrome is a rare congenital disorder characterized by a partial, or rarely total, unilateral anomalous pulmonary venous return to the inferior vena cava. This anomaly has a distinctive bimodal presentation with the infantile form having a higher incidence, severity and mortality than the adult form, which is usually asymptomatic on diagnosis. We present the case of a 36-year-old-male transferred to our institution due to incidental anomalous vascular findings on contrast enhanced chest tomography while being evaluated for dyspnea on exertion. Patient underwent right and left heart catheterization with evidence of left-to-right shunt secondary to complete anomalous right pulmonary venous return. Patient was referred to a cardiovascular surgeon with expertise in congenital heart disease for definitive surgical correction.
Subject(s)
Scimitar Syndrome , Vena Cava, Inferior , Humans , Incidental Findings , Pulmonary Veins , ThoraxABSTRACT
A 68 year old female patient with history of chronic lymphocytic leukemia, arterial hypertension and dyslipidemia came for evaluation since she is constantly aware of the beating of her heart. The echocardiogram showed an aneurysm of the non coronary Sinus of Valsalva. Chest computer tomography showed an aneurysm of the Sinus of Valsalva measuring 5.5 cm of diameter. A sternotomy was performed with resection of aneurysm and replacement of the aortic valve. The postoperative course was uneventful.
