PMC2813621_01
Posterior-anterior x-ray of the chest. Note that the heart is shifted into the right chest. The right lung is hypoplastic. Also note the "scimitar sign"-a curvilinear opacity widening in its course to the inferior vena cava.
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F0001
The chest radiograph showed an abnormal shadow arising from the inferior margin of the right lung hilum and dextroposition of the heart, suspicious of scimitar syndrome (Figure 1).
Cardiac catheterization displaying the anomalous right pulmonary vein.
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F0002
Cardiac catheterization and angiography displayed the aberrant vein inserting to the IVC (Figure 2) and hypoplasia of the right pulmonary artery with no abnormal arterial supply to the right lung from the aorta.
Trans-esophageal echocardiography showing the patent Dacron graft draining into the left atrium.
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F0003
Subsequent trans-esophageal echocardiography demonstrated a well-functioning graft (Figure 3).