{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:48:47Z","timestamp":1753876127805,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T00:00:00Z","timestamp":1555977600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"kind English revision"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Scimitar syndrome consists of anomalous pulmonary vein drainage to the inferior vena cava. Its name derives from the image this anomalous pulmonary vein creates on a chest radiograph. We describe a case of normal venous pulmonary vein drainage that also presented the scimitar sign due to an aorto-collateral vessel.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n A 15-month-old girl presented with mild dyspnoea and fever. Control chest X-ray showed an image of cardiac dextroposition, hypoplastic right lung, and the \u2018scimitar sign\u2019. Although the transthoracic echocardiogram confirmed the initial suspicion of anomalous pulmonary venous drainage, the computed tomography (CT) scan showed normal right pulmonary veins connected to the left atrium and revealed that an aorto-collateral vessel caused the scimitar sign.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Although the patient had several typical alterations of the scimitar syndrome, the pulmonary venous connection was normal, and the scimitar sign was due to an aorto-collateral vessel. It might be difficult to describe venous pulmonary connections on the basis of echocardiography, so an angio CT scan proved to be a valuable tool in this scenario.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytz050","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T13:43:14Z","timestamp":1556026994000},"source":"Crossref","is-referenced-by-count":0,"title":["Scimitar sign in the absence of anomalous pulmonary venous drainage: a case report"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-9786","authenticated-orcid":false,"given":"Paulo Henrique","family":"Manso","sequence":"first","affiliation":[{"name":"Ribeir\u00e3o Preto Medical School\u2014University of S\u00e3o Paulo, Avenida Bandeirantes 3900, Ribeirao Preto-SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9ria de Melo","family":"Moreira","sequence":"additional","affiliation":[{"name":"Heart Institute\u2014University of S\u00e3o Paulo, Avenida Dr. En\u00e9as de Carvalho Aguiar 44, 05403-900S\u00e3o Paulo-SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4185-9423","authenticated-orcid":false,"given":"Vera Demarchi","family":"Aiello","sequence":"additional","affiliation":[{"name":"Heart Institute\u2014University of S\u00e3o Paulo, Avenida Dr. En\u00e9as de Carvalho Aguiar 44, 05403-900S\u00e3o Paulo-SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,4,23]]},"reference":[{"key":"2019091012042997100_ytz050-B1","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s00431-010-1152-4","article-title":"Eponym: Scimitar syndrome","volume":"169","author":"Midyat","year":"2010","journal-title":"Eur J Pediatr"},{"key":"2019091012042997100_ytz050-B2","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1093\/eurheartj\/ehx641","article-title":"A battle in the crusade to understand scimitar syndrome","volume":"39","author":"Opotowsky","year":"2018","journal-title":"Eur Heart J"},{"key":"2019091012042997100_ytz050-B3","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1053\/j.pcsu.2014.01.003","article-title":"Scimitar syndrome: the curved Turkish sabre","volume":"17","author":"\u00c7i\u00e7ek","year":"2014","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"2019091012042997100_ytz050-B4","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1093\/eurheartj\/ehx526","article-title":"The natural history and surgical outcome of patients with scimitar syndrome: a multi-centre European study","volume":"39","author":"Vida","year":"2018","journal-title":"Eur Heart J"},{"key":"2019091012042997100_ytz050-B5","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ejrad.2017.06.015","article-title":"Preoperative evaluation of anomalous pulmonary venous connection using dual-source computed tomography: comparison with echocardiography","volume":"94","author":"Jiang","year":"2017","journal-title":"Eur J Radiol"},{"key":"2019091012042997100_ytz050-B6","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1017\/S1047951115001651","article-title":"Variants of the scimitar syndrome","volume":"26","author":"Bo","year":"2016","journal-title":"Cardiol Young"},{"key":"2019091012042997100_ytz050-B7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1161\/01.CIR.43.1.27","article-title":"Syndrome of hypoplasia of the right lung and dextroposition of the heart: \u201cscimitar sign\u201d with normal pulmonary venous drainage","volume":"43","author":"Morgan","year":"1971","journal-title":"Circulation"},{"key":"2019091012042997100_ytz050-B8","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1136\/thx.43.8.651","article-title":"Scimitar sign with normal pulmonary venous drainage and anomalous inferior vena cava","volume":"43","author":"Herer","year":"1988","journal-title":"Thorax"},{"key":"2019091012042997100_ytz050-B9","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/0003-4975(94)00588-X","article-title":"Lobectomy in the treatment of the scimitar syndrome","volume":"59","author":"Thibault","year":"1995","journal-title":"Ann Thorac Surg"}],"container-title":["European Heart Journal - 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