Presentation
Exertional dyspnea.
Patient Data
Age: 45 years
Gender: Female
From the case:
Scimitar syndrome (CMR)
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Cardiomegaly, likely due to right chambers enlargment.
Tubular opacity in the lower lobe of the right lung.
From the case:
Scimitar syndrome (CMR)
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Mild decrease in right lung volume with mild shift of the heart to the right.
Enlargement of right cardiac chambers is confirmed.
Cine images demonstrating the main scimitar vein draining into inferior vena cava
From the case:
Scimitar syndrome (CMR)
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Scimitar vein draining into inferior vena cava
Mild shift of the heart to the midline due to hypoplasic lung.
CT contributed by Dr Lazaro Delgado
Case Discussion
Classic example of Scimitar syndrome. Cine images accurately illustrate the connection of the scimitar vein.
Patients can be asymptomatic when <50% of the pulmonary circulation or remain subclinical, such as this case.
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