Abstract

Scimitar syndrome is a rare condition including right lung hypoplasia, anomalous pulmonary venous drainage, dextroposition of the heart, and hypoplastic right pulmonary artery (RPA). The infantile form is sometimes associated with pulmonary hypertension, cardiac failure, and a poorer prognosis. We present a 1-day-old girl with a rare combination of partial left pulmonary artery (LPA) sling and scimitar syndrome, which was suspected in prenatal sonography and confirmed by echocardiography, computed tomography and cardiac catheterization. The patient received re-implantation of the aberrant left lower pulmonary artery and patch augmentation of the main-left upper pulmonary arteries at 4 months of age. Another operation was performed at 7 months of age with patch augmentation for stenosis of the left lower pulmonary artery and left pulmonary vein elevation to relieve its clenching of the left lower bronchus, with improvement of respiratory distress.

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