Abstract
Scimitar syndrome is a rare vascular anomaly whereby a partial anomalous pulmonary venous drainage to the inferior vena cava results in left-to-right shunt. Scimitar syndrome can be associated with congenital cardiovascular defects (dextrocardia, atrial septal defects, and right pulmonary artery hypoplasia), pulmonary anomalies (hypoplasia, sequestration), and tracheobronchial anomalies. Thus, it can manifest with heart failure and recurrent pneumonia.1,2 Diagnosis is obtained during childhood, when symptoms related to relevant shunt and other cardiovascular and pulmonary anomalies are present. When asymptomatic, scimitar syndrome can be accidentally discovered in adulthood.3 Standard chest x-ray evaluation is usually pathognomonic (Figure 1), although it is mandatory that …
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