North American Journal of Medical Sciences

CASE REPORT
Year
: 2016  |  Volume : 8  |  Issue : 1  |  Page : 61--64

Breathless at the point of a sword


Pooja Sethi1, Zia Ur Rahman1, Terry Forest2, Timir Paul1 
1 Department of Internal Medicine, East Tennessee State University, Johnson City, Tennessee, USA
2 Department of Cardiology, VA Medical Center, Johnson City, Tennessee, USA

Correspondence Address:
Pooja Sethi
Department of Cardiology (Internal Medicine), East Tennessee State University, Johnson City, Tennessee
USA

Context: Scimitar syndrome is a congenital anomaly of pulmonary venous return where right pulmonary artery drains into right side other heart, instead of the left side, causing pulmonary hypertension resulting in shortness of breath, recurrent lower respiratory tract infections, chest pain, and fatigue. Early diagnosis and surgical intervention would correct this congenital anomaly reducing morbidity and complications in otherwise healthy young patients. Case Report: We present a case of an 18-year-old female who presented with exertional shortness of breath, fatigue, and recurrent lower respiratory tract infections. She had unremarkable physical examination but chest x-ray showed an abnormal opacity next to right heart border. Computed tomography (CT) chest was performed that showed possible scimitar syndrome. Transesophageal echocardiogram (TEE) and right heart catheterization (RHC) confirmed the diagnosis. Conclusion: Scimitar syndrome is a very rare congenital anomaly of pulmonary venous return. It is usually diagnosed in early childhood but the diagnosis may be delayed until later in adulthood. The consequences are pulmonary hypertension, right-sided heart failure, and frequent pulmonary infections resulting in increased morbidity, mortality, and frequent doctor visits for otherwise healthy young patients.


How to cite this article:
Sethi P, Rahman ZU, Forest T, Paul T. Breathless at the point of a sword.North Am J Med Sci 2016;8:61-64


How to cite this URL:
Sethi P, Rahman ZU, Forest T, Paul T. Breathless at the point of a sword. North Am J Med Sci [serial online] 2016 [cited 2020 Sep 28 ];8:61-64
Available from: http://www.najms.org/article.asp?issn=1947-2714;year=2016;volume=8;issue=1;spage=61;epage=64;aulast=Sethi;type=0