open access

Vol 66, No 4 (2008)
Other
Published online: 2008-04-24
Submitted: 2012-12-28
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Case report
Is atrial septal defect always a simple defect?

Małgorzata Pawelec-Wojtalik, Wojciech Mrówczyński, Jacek Henschke, Rafał Surmacz, Alicja Bartkowska-Śniatkowska, Andrzej Wodziński
Kardiol Pol 2008;66(4):430-432.

open access

Vol 66, No 4 (2008)
Other
Published online: 2008-04-24
Submitted: 2012-12-28

Abstract

A case of an asymptomatic 4-year-old girl with hemodynamically significant type II atrial septal defect is described. The patient underwent TEE in order to assess the eligibility for interventional device closure. Due to unfavorable anatomy and suspicion of the sinus venous type of the defect the child was selected for surgical treatment. No abnormalities were detected during surgery but a superfluous left atrial return of the venous blood during the cardiopulmonary bypass was noticed. The postoperative catheterisation was performed to elucidate this finding since the intraoperative TEE was normal. An anomalous venous drainage from superior and medial lobes of the right lung to the inferior vena cava was revealed. The ‘scimitar’ syndrome was diagnosed. Next, the patient underwent a successful surgical correction of this abnormality. The study presents the epidemiology, symptomatology and treatment modalities of the syndrome.

Abstract

A case of an asymptomatic 4-year-old girl with hemodynamically significant type II atrial septal defect is described. The patient underwent TEE in order to assess the eligibility for interventional device closure. Due to unfavorable anatomy and suspicion of the sinus venous type of the defect the child was selected for surgical treatment. No abnormalities were detected during surgery but a superfluous left atrial return of the venous blood during the cardiopulmonary bypass was noticed. The postoperative catheterisation was performed to elucidate this finding since the intraoperative TEE was normal. An anomalous venous drainage from superior and medial lobes of the right lung to the inferior vena cava was revealed. The ‘scimitar’ syndrome was diagnosed. Next, the patient underwent a successful surgical correction of this abnormality. The study presents the epidemiology, symptomatology and treatment modalities of the syndrome.
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Keywords

scimitar syndrom; atrial septal defect; anomalous pulmonary venous return

About this article
Title

Case report
Is atrial septal defect always a simple defect?

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 4 (2008)

Pages

430-432

Published online

2008-04-24

Bibliographic record

Kardiol Pol 2008;66(4):430-432.

Keywords

scimitar syndrom
atrial septal defect
anomalous pulmonary venous return

Authors

Małgorzata Pawelec-Wojtalik
Wojciech Mrówczyński
Jacek Henschke
Rafał Surmacz
Alicja Bartkowska-Śniatkowska
Andrzej Wodziński

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