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Positional Oxygenation Changes in an Adult Patient With Scimitar Syndrome: A Case Report

Sergin, Demet, MD; Tanatti, Burçak, MD; Ulukaya, Sezgin, MD

doi: 10.1213/XAA.0000000000000798
Case Reports

Scimitar syndrome is a rare complex of congenital anomalies of the cardiopulmonary system. In patients with scimitar syndrome, the right pulmonary vein abnormally drains into the inferior vena cava, right atrium, coronary sinus, azygos vein, portal vein, or hepatic vein. The syndrome gets its name from the Turkish sword-like image that appears on chest x-ray. Some patients with scimitar syndrome survive in adulthood undiagnosed. Herein, we discuss positional oxygenation and hemodynamic changes associated with scimitar syndrome, especially in the left lateral decubitus position, detected during preoperative anesthetic examination in an adult patient who underwent general anesthesia for left mastectomy.

From the Department of Anesthesiology and Reanimation, Ege University, Faculty of Medicine, Izmir, Turkey.

Accepted for publication April 10, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Demet Sergin, MD, Department of Anesthesiology and Reanimation, Ege University, Faculty of Medicine, 35100 Bornova, Izmir, Turkey. Address e-mail to dsergin@hotmail.com.

© 2018 International Anesthesia Research Society
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