Bize, Pierre

Gonzalez, Michel

Krueger, Thorsten

Ris, Hans-Beat

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www.elsevier.com/locate/ejctsracic Surgery 40 (2011) 273European Journal of Cardio-thoImages in cardio-thoracic surgeryScimitar syndrome in association with intrapulmonary sequestrationMichel Gonzalez a,*, Pierre Bize b, Hans-Beat Ris a, Thorsten Krueger aa Service of Thoracic and Vascular Surgery, Centre Hospitalier Universitaire Vaudois Lausanne, SwitzerlandbDepartment of Radiology, Centre Hospitalier Universitaire Vaudois Lausanne, SwitzerlandReceived 3 September 2010; received in revised form 9 November 2010; accepted 11 November 2010; Available online 11 January 2011Keywords: Pulmonary sequestration; Scimitar syndromeA 62-year-old woman was referred for repetitive hemop-tysis. Chest computed tomography scan revealed intrapul-monary sequestration of the right lower lobe with anaberrant artery arising from the sus-diaphragmatic descend-[()TD$FIG]Fig. 1. (A) Chest computed tomography scan showed intrapulmonary seques-tration (Se) of the right lower lobe. The right lower vein (RLV) is anterior to thesequestration with drainage directly in the inferior vena cava. (B) Vascular-isation of the sequestration by an aberrant artery (Ar) arising from the sus-diaphragmatic descending aorta (Ao).* Corresponding author. Address: Thoracic and Vascular Surgery Service,Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1011-Lausanne,Switzerland. Tel.: +41 79 556 38 20; fax: +41 21 314 23 58.E-mail address: Michel.Gonzalez@chuv.ch (M. Gonzalez).1010-7940/$ — see front matter # 2010 European Association for Cardio-Thoracicdoi:10.1016/j.ejcts.2010.11.033ing aorta (Fig. 1(A) and (B)). In addition, the right lower lobeshowed an anomalous venous drainage directly in the inferiorvena cava (Scimitar syndrome) (Fig. 2(A) and (B)) (3D video).[()TD$FIG]Fig. 2. (A) Three dimensional reconstructed computed tomography imageshowing the venous drainage of the right lower lobe directly in the inferiorvena cava (white arrow). (B) Intra-operative view with aberrant artery of theintrapulmonary sequestration (Ar) and venous drainage of the right lower lobe(RLV) directly in the inferior vena cava (IVC) just above the diaphragm. Thepatient underwent right lower lobectomy with uneventful recovery.Appendix A. Supplementary dataSupplementary data associated with this article can be found, in the onlineversion, at doi:10.1016/j.ejcts.2010.11.033.Surgery. Published by Elsevier B.V. All rights reserved.

Scimitar syndrome in association with intrapulmonary sequestration

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