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Ann Thorac Surg 1990;50:121-123
© 1990 The Society of Thoracic Surgeons

Articles

Scimitar syndrome: Cine magnetic resonance imaging demonstration of anomalous pulmonary venous drainage

Richard Baxter, MDa,b, P.Michael McFadden, MD*,a,b, Marc Gradman, MDa,b, Allan Wright, MDa,b

a Department of Diagnostic Radiology and Nuclear Medicine, Stanford University Medical Center, Stanford USA
b Department of Cardiovascular Surgery and Cardiology, Palo Alto Medical Foundation, Palo Alto, California USA

Accepted for publication December 7, 1989.

* Address reprint requests to Dr McFadden, Department of Cardiovascular Surgery, Palo Alto Medical Foundation, 300 Homer Ave, Palo Alto, CA 94301.

A "'scimitar" shadow was found on routine chest roentgenography in an asymptomatic patient. Evaluation with cine magnetic resonance imaging demonstrated an anomalous pulmonary vein draining into the inferior vena cava below the diaphragm. The diagnosis of scimitar syndrome was confirmed and successfully repaired at operation. Cine magnetic resonance imaging may be of considerable value in the assessment of congenital pulmonary venous abnormalities and may provide an alternative to more traditional invasive diagnostic techniques in certain circumstances.




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