Anormal pulmoner venöz dönüşün karmaşık formu; scimitar sendromunda yeni nesil görüntüleme ve cerrahi yaklaşım

Yıldız, Cenk Eray; Korkmaz, Askin Ali; Babaoğlu, Kadir; Onan, Burak; Güden, Mustafa; Çetin, Gürel

doi:10.4274/tpa.1472

Cited by 1 publication

(1 citation statement)

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“…Patients with horseshoe lung often present with significant cardiopulmonary distress symptoms 10 . The multidetector computed tomography (MDCT) scan is the preferred diagnostic modality to detect these uncommon and complex malformations without the need for invasive options such as catheterization and bronchoscopy 11 , 12 . Herein, we report a rare case of a 3-month-old child diagnosed with horseshoe lung associated with scimitar syndrome by using MDCT, the first reported case of this condition in Palestine.…”

Section: Introductionmentioning

confidence: 99%

Rare case of horseshoe lung associated with scimitar syndrome in Palestine: a case report

Shrateh

Rajab

Issawi

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: The caudal and basal parts of the lungs are fused together in a rare congenital bronchopulmonary anomaly known as horseshoe lung. The majority of horseshoe lung cases are associated with scimitar syndrome. Most patients present with nonspecific symptoms. Multidetector pneumoangiography can be used to diagnose horseshoe lung, which shows that the isthmus of the pulmonary parenchyma traverses the midline, connecting the two lungs together. Treatment and prognosis are usually determined depending on the presence of other concomitant anomalies and the degree of symptom severity. Case Presentation: A 3-month-old-male patient presented with respiratory symptoms and a history of chest infection. Chest imaging revealed anomalous venous drainage from the right lower lobe of the lung, right lung hypoplasia with mediastinal shift, and a parenchymal isthmus extending between the two lungs. The patient was diagnosed with horseshoe lungs associated with scimitar syndrome. He was also found to have extralobar sequestration to the right lower lobe of the lung. The patient underwent surgical management in the form of tunneling of the anomalous vein into the left atrium using pericardium autograft ligation of the sequestration artery. Clinical Discussion: Because of its common association with other congenital malformations such as scimitar syndrome and cardiovascular defects, clinicians should be meticulous in the investigation and workup process of patients with horseshoe lung in order not to miss any of these associated abnormalities. Conclusion: Although it is very rare, horseshoe lung should be considered in the differential diagnosis of respiratory distress symptoms, especially in children younger than 1 year.

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Section: Introductionmentioning

confidence: 99%