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Published in: Anatomical Science International 2/2015

01-03-2015 | Case Report

Scimitar vein descending from the right inferior lobe to the inferior vena cava beneath the diaphragm: a rare case

Authors: Shogo Hayashi, Shuichi Hirai, Munekazu Naito, Shinichi Kawata, Ning Qu, Naoyuki Hatayama, Hayato Terayama, Hiroshi Moriyama, Masahiro Itoh

Published in: Anatomical Science International | Issue 2/2015

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Abstract

Scimitar syndrome is a rare anomaly involving a pulmonary vein flowing into the inferior vena cava (scimitar vein) and is commonly associated with lung hypoplasia wherein a scimitar vein drains the entire lung. We report a rare case of a scimitar vein draining only the right inferior lobe found in a 77-year-old male cadaver. In this case, no hypoplastic lung or abnormal lobulation were observed. The scimitar vein drained the inferior lobe of the right lung after piercing the diaphragm and draining into the inferior vena cava. The remaining two right pulmonary veins, draining the superior and middle lobes, terminated into the left atrium. To the best of our knowledge, this is the first report of a scimitar vein during gross anatomical dissection in an adult cadaver. In adults, scimitar veins are often benign, incidental findings, and little is known about them. The present case of a scimitar vein partially draining the lung without lung hypoplasia offers important insights into the formative processes of the pulmonary venous system.
Literature
go back to reference Bratincsák A, Rao RP, El-Said HG (2010) Unusual variant of a rare constellation: a left-sided scimitar syndrome with connection to the azygos vein. Congenit Heart Dis 5:174–177CrossRefPubMed Bratincsák A, Rao RP, El-Said HG (2010) Unusual variant of a rare constellation: a left-sided scimitar syndrome with connection to the azygos vein. Congenit Heart Dis 5:174–177CrossRefPubMed
go back to reference Cukier A, Kavakama J, Teixeira LR, Terra-Filho M, Vargas FS (1994) Scimitar sign with normal pulmonary venous drainage and systemic arterial supply: scimitar syndrome or broncho-pulmonary sequestration? Chest 105:294–295CrossRefPubMed Cukier A, Kavakama J, Teixeira LR, Terra-Filho M, Vargas FS (1994) Scimitar sign with normal pulmonary venous drainage and systemic arterial supply: scimitar syndrome or broncho-pulmonary sequestration? Chest 105:294–295CrossRefPubMed
go back to reference Dupuis C, Charaf LA, Brevière GM, Abou P, Rémy-Jardin M, Helmius G (1992) The “adult” form of the scimitar syndrome. Am J Cardiol 70:502–507CrossRefPubMed Dupuis C, Charaf LA, Brevière GM, Abou P, Rémy-Jardin M, Helmius G (1992) The “adult” form of the scimitar syndrome. Am J Cardiol 70:502–507CrossRefPubMed
go back to reference Gudjonsson U, Brown JW (2006) Scimitar syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 9:56–62CrossRef Gudjonsson U, Brown JW (2006) Scimitar syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 9:56–62CrossRef
go back to reference Korkmaz AA, Yildiz CE, Onan B, Guden M, Cetin G, Babaoglu K (2011) Scimitar syndrome: a complex form of anomalous pulmonary venous return. J Card Surg 26:529–534CrossRefPubMed Korkmaz AA, Yildiz CE, Onan B, Guden M, Cetin G, Babaoglu K (2011) Scimitar syndrome: a complex form of anomalous pulmonary venous return. J Card Surg 26:529–534CrossRefPubMed
go back to reference Legras A, Guinet C, Alifano M, Lepilliez A, Régnard JF (2012) A case of variant scimitar syndrome. Chest 142:1039–1041CrossRefPubMed Legras A, Guinet C, Alifano M, Lepilliez A, Régnard JF (2012) A case of variant scimitar syndrome. Chest 142:1039–1041CrossRefPubMed
go back to reference Mathey J, Galey JJ, Logeais Y, Santoro E, Vanetti A, Maurel A, Wuerflein R (1968) Anomalous pulmonary venous return into inferior vena cava and associated bronchovascular anomalies (the scimitar syndrome): report of three cases and review of the literature. Thorax 23:398–407CrossRefPubMedCentralPubMed Mathey J, Galey JJ, Logeais Y, Santoro E, Vanetti A, Maurel A, Wuerflein R (1968) Anomalous pulmonary venous return into inferior vena cava and associated bronchovascular anomalies (the scimitar syndrome): report of three cases and review of the literature. Thorax 23:398–407CrossRefPubMedCentralPubMed
go back to reference Rodrigues MA, Ritchie G, Murchison JT (2013) Incidental meandering right pulmonary vein, literature review and proposed nomenclature revision. World J Radiol 28:215–219CrossRef Rodrigues MA, Ritchie G, Murchison JT (2013) Incidental meandering right pulmonary vein, literature review and proposed nomenclature revision. World J Radiol 28:215–219CrossRef
go back to reference Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH (2009) Development of the vasculature. Larsen’s human embryology, 4th edn. Elsevier, New York, pp 385–434CrossRef Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH (2009) Development of the vasculature. Larsen’s human embryology, 4th edn. Elsevier, New York, pp 385–434CrossRef
go back to reference Takeda S, Imachi T, Arimitsu K, Minami M, Hayakawa M (1994) Two cases of scimitar variant. Chest 105:292–293CrossRefPubMed Takeda S, Imachi T, Arimitsu K, Minami M, Hayakawa M (1994) Two cases of scimitar variant. Chest 105:292–293CrossRefPubMed
go back to reference Tortoriello TA, Vick GW, Chung T, Bezold LI, Vincent JA (2002) Meandering right pulmonary vein to the left atrium and inferior vena cava: the first case with associated anomalies. Tex Heart Inst J 29:319–323PubMedCentralPubMed Tortoriello TA, Vick GW, Chung T, Bezold LI, Vincent JA (2002) Meandering right pulmonary vein to the left atrium and inferior vena cava: the first case with associated anomalies. Tex Heart Inst J 29:319–323PubMedCentralPubMed
Metadata
Title
Scimitar vein descending from the right inferior lobe to the inferior vena cava beneath the diaphragm: a rare case
Authors
Shogo Hayashi
Shuichi Hirai
Munekazu Naito
Shinichi Kawata
Ning Qu
Naoyuki Hatayama
Hayato Terayama
Hiroshi Moriyama
Masahiro Itoh
Publication date
01-03-2015
Publisher
Springer Japan
Published in
Anatomical Science International / Issue 2/2015
Print ISSN: 1447-6959
Electronic ISSN: 1447-073X
DOI
https://doi.org/10.1007/s12565-014-0230-5

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