Abstract
Patients with symptomatic scimitar syndrome usually suffer from either respiratory insufficiency and/or heart failure due to pulmonary hypertension, or recurrent pulmonary infections, especially in the right lower lobe, most likely due to an abnormal arterial supply and venous drainage, and hypogenesis of the right lung. But aberrant pulmonary venous drainage to the esopheal venous plexus, leading to variceal bleeding, is rarely a presentation of scimitar syndrome. Herein, we report a 17-year-old man presenting with several episodes of variceal bleeding due to such a partial anomalous pulmonary venous drainage. Successful surgical repair was performed by a reimplantation of the anomalous vein to the left atrium. After the repair, the patient no longer suffered from hematemesis episodes.
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