Skip to main content
Log in

Scimitar vein descending from the right inferior lobe to the inferior vena cava beneath the diaphragm: a rare case

  • Case Report
  • Published:
Anatomical Science International Aims and scope Submit manuscript

Abstract

Scimitar syndrome is a rare anomaly involving a pulmonary vein flowing into the inferior vena cava (scimitar vein) and is commonly associated with lung hypoplasia wherein a scimitar vein drains the entire lung. We report a rare case of a scimitar vein draining only the right inferior lobe found in a 77-year-old male cadaver. In this case, no hypoplastic lung or abnormal lobulation were observed. The scimitar vein drained the inferior lobe of the right lung after piercing the diaphragm and draining into the inferior vena cava. The remaining two right pulmonary veins, draining the superior and middle lobes, terminated into the left atrium. To the best of our knowledge, this is the first report of a scimitar vein during gross anatomical dissection in an adult cadaver. In adults, scimitar veins are often benign, incidental findings, and little is known about them. The present case of a scimitar vein partially draining the lung without lung hypoplasia offers important insights into the formative processes of the pulmonary venous system.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  • Bratincsák A, Rao RP, El-Said HG (2010) Unusual variant of a rare constellation: a left-sided scimitar syndrome with connection to the azygos vein. Congenit Heart Dis 5:174–177

    Article  PubMed  Google Scholar 

  • Cukier A, Kavakama J, Teixeira LR, Terra-Filho M, Vargas FS (1994) Scimitar sign with normal pulmonary venous drainage and systemic arterial supply: scimitar syndrome or broncho-pulmonary sequestration? Chest 105:294–295

    Article  CAS  PubMed  Google Scholar 

  • Dupuis C, Charaf LA, Brevière GM, Abou P, Rémy-Jardin M, Helmius G (1992) The “adult” form of the scimitar syndrome. Am J Cardiol 70:502–507

    Article  CAS  PubMed  Google Scholar 

  • Gudjonsson U, Brown JW (2006) Scimitar syndrome. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 9:56–62

    Article  Google Scholar 

  • Korkmaz AA, Yildiz CE, Onan B, Guden M, Cetin G, Babaoglu K (2011) Scimitar syndrome: a complex form of anomalous pulmonary venous return. J Card Surg 26:529–534

    Article  PubMed  Google Scholar 

  • Legras A, Guinet C, Alifano M, Lepilliez A, Régnard JF (2012) A case of variant scimitar syndrome. Chest 142:1039–1041

    Article  PubMed  Google Scholar 

  • Mathey J, Galey JJ, Logeais Y, Santoro E, Vanetti A, Maurel A, Wuerflein R (1968) Anomalous pulmonary venous return into inferior vena cava and associated bronchovascular anomalies (the scimitar syndrome): report of three cases and review of the literature. Thorax 23:398–407

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Rodrigues MA, Ritchie G, Murchison JT (2013) Incidental meandering right pulmonary vein, literature review and proposed nomenclature revision. World J Radiol 28:215–219

    Article  Google Scholar 

  • Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH (2009) Development of the vasculature. Larsen’s human embryology, 4th edn. Elsevier, New York, pp 385–434

    Chapter  Google Scholar 

  • Takeda S, Imachi T, Arimitsu K, Minami M, Hayakawa M (1994) Two cases of scimitar variant. Chest 105:292–293

    Article  CAS  PubMed  Google Scholar 

  • Tortoriello TA, Vick GW, Chung T, Bezold LI, Vincent JA (2002) Meandering right pulmonary vein to the left atrium and inferior vena cava: the first case with associated anomalies. Tex Heart Inst J 29:319–323

    PubMed Central  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Ms. Akiko Abo, Ms. Miyuki Kuramasu, and Ms. Yuki Ogawa for their excellent secretarial and technical assistance.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shogo Hayashi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hayashi, S., Hirai, S., Naito, M. et al. Scimitar vein descending from the right inferior lobe to the inferior vena cava beneath the diaphragm: a rare case. Anat Sci Int 90, 123–125 (2015). https://doi.org/10.1007/s12565-014-0230-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12565-014-0230-5

Keywords

Navigation