Erschienen in:
01.10.2010 | Case Report
Transpleural Pulmonary-to-Systemic Venous Collaterals in a Case With Obstructed Scimitar Vein
verfasst von:
Derek T. H. Wong, Lars Grosse-Wortmann, Shi-Joon Yoo
Erschienen in:
Pediatric Cardiology
|
Ausgabe 7/2010
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Abstract
Scimitar syndrome is a rare cause of left-to-right shunting. Surgery is indicated for a pulmonary-to-systemic blood flow ratio greater than 1.5:1 and not infrequently is complicated by postoperative obstruction. This report presents a case of scimitar syndrome and reviews how magnetic resonance imaging (MRI) can be used for initial and follow-up assessment of the syndrome with emphasis on suspected pulmonary venous obstruction. Given the potential high incidence of postoperative occlusion, MRI provides hemodynamic and anatomic information for both initial and follow-up assessment of scimitar syndrome. MRI clearly demonstrated transpleural pulmonary-to-systemic venous collaterals draining the obstructed scimitar vein.