Abstract
Scimitar syndrome with bilateral abnormal venous drainage and horseshoe lung is extremely rare. These rare complex anomalies were diagnosed in a 5-year-old boy by 64-slice multidetector CT (MDCT). This technique provides high-quality visualization of vascular, bronchial and parenchymal structures in a single session, such that no further invasive techniques are required. One obvious disadvantage of MDCT is the radiation exposure, especially in paediatric patients. The use of a single phase of contrast material administration reduces radiation exposure. The workstation platforms of MDCT systems allow multiplanar 2-D and 3-D postprocessing. As a result, various complex pathologies, such as that discussed here, can be diagnosed following a single imaging session with a certain precision.
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References
Kabbani M, Haider N, Abu-Sulaiman R (2004) Bilateral scimitar syndrome. Cardiol Young 14:447–449
Kamijoh M, Itoh M, Kijimoto C et al (2002) Horseshoe lung with bilateral vascular anomalies: a rare variant of hypogenetic lung syndrome (scimitar syndrome). Pediatr Int 44:443–445
Rutledge JM, Hiatt PW, Wesley VG 3rd et al (2001) A sword for the left hand: an unusual case of left-sided scimitar syndrome. Pediatr Cardiol 22:350–352
Takahashi M, Murata K, Yamori M et al (1997) Horseshoe lung: demonstration by electron-beam CT. Br J Radiol 70:964–966
Goo HW, Kim YH, Ko JK et al (2002) Horseshoe lung: useful angiographic and bronchographic images using multidetector-row spiral CT in two infants. Pediatr Radiol 32:529–532
Dikensoy O, Kervancioglu R, Bayram NG et al (2006) Horseshoe lung associated with scimitar syndrome and pleural lipoma. J Thorac Imaging 21:73–75
Chapple CL, Willis S, Frame J (2002) Effective dose in paediatric computed tomography. Phys Med Biol 47:107–115
D’Alessandro L, Kovesi T, Massoud S et al (2006) Horseshoe lung and facio-auriculo-vertebral sequence: a previously unreported association. Pediatr Pulmonol 41:592–596
Hawass ND, Badawi MG, Al-Muzrakchi AM et al (1990) Horseshoe lung: differential diagnosis. Pediatr Radiol 20:580–584
Tilea B, Garel C, Delezoide A-L et al (2005) Prenatal diagnosis of horseshoe lung: contribution of MRI. Pediatr Radiol 35:1010–1013
Lee EY, Siegel MJ, Sierra LM et al (2004) Evaluation of angioarchitecture of pulmonary sequestration in pediatric patients using 3D MDCT angiography. AJR 183:183–188
Rassow J, Schmaltz AA, Hentrich F et al (2000) Effective doses to patients from paediatric cardiac catheterization. Br J Radiol 73:172–183
Paterson A, Frush DP (2007) Dose reduction in paediatric MDCT: general principles. Clin Radiol 62:507–517
Huda W, Ravenel JG, Scalzetti EM (2002) How do radiographic techniques affect image quality and patient doses in CT? Semin Ultrasound CT MR 23:411–422
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Akay, H.O., Kervancioglu, M., Nazaroglu, H. et al. Horseshoe lung associated with rare bilateral variant of scimitar syndrome: demonstration by 64-slice MDCT angiography. Pediatr Radiol 38, 563–566 (2008). https://doi.org/10.1007/s00247-007-0722-8
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DOI: https://doi.org/10.1007/s00247-007-0722-8