ISSN 1004-4140
CN 11-3017/P
| Citation: |
HONG T Y, ZHANG Q F, LI D, et al. Clinical Application Value of CT in Evaluating Infantile and Adult Scimitar Syndrome[J]. CT Theory and Applications, 2024, 33(5): 633-639. DOI: 10.15953/j.ctta.2023.221. (in Chinese).
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Objective: This article aimed to analyze the computed tomography (CT) imaging manifestations and clinical significance of scimitar syndrome to improve our understanding of the disease. Method: A total of 28 patients diagnosed with scimitar syndrome were enrolled in our hospital from January 2019 to January 2024, and their clinical and imaging data were retrospectively analyzed. Results: Among the 28 cases, there were 10 males and 18 females, with 15 and 13 cases of the infantile and adult types, respectively. The average age of patients with the infant type were (6.78±3.50) months, with 10 cases having total anomalous right pulmonary venous drainage. Among them, three cases had stenosis and obstruction at the site of ectopic drainage and two cases had concomitant atrial septal defect and pulmonary arterial hypertension; these five cases underwent surgical treatment. Five cases of partial anomalous right pulmonary venous drainage to the inferior vena cava were found during imaging examination owing to the presence of other deformities and pulmonary infections. The average age of patients with the adult type was (5.53±2.72) years old. Seven cases had total anomalous right pulmonary venous drainage to the inferior vena cava, with one case undergoing surgical treatment. Six cases had ectopic drainage from the right lower pulmonary vein to the inferior vena cava: two underwent elective surgery owing to a clear diagnosis for many years, and two underwent interventional treatment for systemic arterial blood supply owing to extralobar sequestration. Conclusion: There were significant differences in clinical manifestation between patients with infantile and adult types of scimitar syndrome. Using multiple imaging modes of CT examination combined with powerful reconstruction post-processing functions, children with scimitar syndrome can be evaluated comprehensively, providing a basis for the selection of clinical treatment methods and surgical plans.
| [1] |
WANG C C, WU E T, CHEN S J, et al. Scimitar syndrome: Incidence, treatment, and prognosis[J]. European Journal of Pediatrics, 2008, 167(2): 155−160. DOI: 10.1007/s00431-007-0441-z.
|
| [2] |
VIDA V L, PADALINO M A, BOCCUZZO G, et al. Scimitar syndrome: A European Congenital Heart Surgeons Association (ECHSA) multicentric study[J]. Circulation, 2010, 122(12): 1159−1166. DOI: 10.1161/CIRCULATIONAHA.109.926204.
|
| [3] |
Al R H, Al G M, Tamimi O, et al. Clinical spectrum of infantile scimitar syndrome: A tertiary center experience[J]. Annals of Pediatric Cardiology, 2014, 7(1): 29−33. DOI: 10.4103/0974-2069.126547.
|
| [4] |
KONEN E, RAVIV-ZILKA L, COHEN R A, et al. Congenital pulmonary venolobar syndrome: Spectrum of helical CT findings with emphasis on computerized reformatting[J]. RadioGraphics, 2003, 23: 1175−1184. DOI: 10.1148/rg.235035004.
|
| [5] |
李志强, 许建屏, 王欣, 等. 镰刀综合征的外科治疗[J]. 中日友好医院学报, 2009, (3): 137−139. DOI:10.3969/ j.issn.1001-0025.2009.03.003.
LI Z Q, XU J P, WANG X, et al. Surgical treatment of scimitar syndrome[J]. Journal of China-Japan Friendship Hospital, 2009, (3): 137−139. DOI: 10.3969/j.issn.1001-0025.2009.03.003. (in Chinese).
|
| [6] |
郭颖, 徐欣怡, 刘廷亮, 等. 弯刀综合征的内外科联合治疗及预后[J]. 中华胸心血管外科杂志, 2021, 37(12): 717-720. DOI: 10.3760/cma.j.cn112434-20200626-00305.
GUO Y, XU X Y, LIU T L, et al. Hybrid treatment and prognosis of scimitar syndrome[J]. Chinese Journal of Thoracic and Cardiovascular Surgery 2021, 37(12): 717-720. DOI:10.3760/cma.j.cn112434-20200626-003054497.2018.03.005. (in Chinese).
|
| [7] |
黄红娟, 周春霞, 徐卓明. 14例弯刀综合征不同诊治方案[J]. 中华胸心血管外科杂志, 2018, 34(3): 149-152. DOI: 10.3760/cma.j.issn.1001-4497.2018.03.005.
HUANG H J, ZHOU C X, XU Z M. The diagnosis and different treatment of scimitar syndrome in 14 cases[J]. Chinese Journal of Thoracic and Cardiovascular Surgery2018, 34(3): 149-152. DOI:10.3760/cma.j.issn.1001-4497.2018.03.005. (in Chinese).
|
| [8] |
ODENTHAL C, SARIKWAL A. Anomalous unilateral single pulmonary vein versus scimitar syndrome: Comparison of two paediatric cases and a review of the literature[J]. Journal of Medical Imaging and Radiation Oncology, 2012, 56(3): 247−254. DOI: 10.1111/j.1754-9485.2012.02385.x.
|
| [9] |
王顺民, 孙彦隽, 杜欣为, 等. 弯刀综合征新形态学分型和外科技术改良[J]. 岭南心血管病杂志, 2021, 4(4): 439−443. DOI: 10.3969/j.issn.1007-9688.2021.04.11.
WANG S M, SUN Y J, DU X W, et al. New morphologic classifications and modified surgical techniques of scimitar syndrome[J]. South China Journal of Cardiovascular Diseases, 2021, 4(4): 439−443. DOI: 10.3969/j.issn.1007-9688.2021.04.11. (in Chinese).
|
| [10] |
FRITZ C J, REUTTER H M, HERBERG U. Scimitar syndrome in a case with VACTERL association[J]. Cardiology in the Young, 2015, 25(3): 606−609. DOI: 10.1017/S1047951114000924.
|
| [11] |
刘仕祺, 姜敏, 齐宇洁, 等. VACTERL联合征45例临床分析[J]. 北京医学, 2021, 43(7): 597−600. DOI: 10.15932/j.0253-9713.2021.07.002.
LIU S Q, JIANG M, QI Y J, et al. Clinical analysisi of 45 cases with VACTERL association[J]. Beijing Medical Journal, 2021, 43(7): 597−600. DOI: 10.15932/j.0253-9713.2021.07.002. (in Chinese).
|
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