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Yamakawa H, Shimizu K, Michimoto K, et al. Transcatheter embolization for hemoptysis associated with anomalous systemic artery in a patient with scimitar syndrome. Springerplus. 2015;4:422doi: 10.1186/s40064-015-1219-9.
Yamakawa, H., Shimizu, K., Michimoto, K., Kameoka, Y., Kang, R., Yoshida, J., Yamada, M., Yoshida, M., Ishikawa, T., Takagi, M., & Kuwano, K. (2015). Transcatheter embolization for hemoptysis associated with anomalous systemic artery in a patient with scimitar syndrome. SpringerPlus, 4422. https://doi.org/10.1186/s40064-015-1219-9
Yamakawa, Hideaki, et al. "Transcatheter embolization for hemoptysis associated with anomalous systemic artery in a patient with scimitar syndrome." SpringerPlus vol. 4 (2015): 422. doi: https://doi.org/10.1186/s40064-015-1219-9
Yamakawa H, Shimizu K, Michimoto K, Kameoka Y, Kang R, Yoshida J, Yamada M, Yoshida M, Ishikawa T, Takagi M, Kuwano K. Transcatheter embolization for hemoptysis associated with anomalous systemic artery in a patient with scimitar syndrome. Springerplus. 2015 Aug 14;4:422. doi: 10.1186/s40064-015-1219-9. eCollection 2015. PMID: 26301169; PMCID: PMC4536247.
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Springerplus. 2015 Aug 14;4:422. doi: 10.1186/s40064-015-1219-9. eCollection 2015.

Transcatheter embolization for hemoptysis associated with anomalous systemic artery in a patient with scimitar syndrome.

SpringerPlus

Hideaki Yamakawa, Kanichiro Shimizu, Kenkichi Michimoto, Yoshihiko Kameoka, Ryeonshi Kang, Jun Yoshida, Masami Yamada, Masahiro Yoshida, Takeo Ishikawa, Masamichi Takagi, Kazuyoshi Kuwano

Affiliations

  1. Division of Respiratory Medicine, Department of Internal Medicine, Kashiwa Hospital, Jikei University School of Medicine, 163-1 Kashiwashita, Kashiwa, Chiba, 277-8567 Japan.
  2. Department of Radiology, Kashiwa Hospital, Jikei University School of Medicine, Chiba, Japan.
  3. Division of Cardiology, Department of Internal Medicine, Kashiwa Hospital, Jikei University School of Medicine, Chiba, Japan.
  4. Division of Respiratory Medicine, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.

PMID: 26301169 PMCID: PMC4536247 DOI: 10.1186/s40064-015-1219-9

Abstract

BACKGROUND: Scimitar syndrome can present with a wide clinical spectrum of symptoms either early in the neonatal period or later in life.

CASE DESCRIPTION: We report a case of a 62-year-old woman with anomalous systemic arterial supply to the basal lung with scimitar syndrome presenting as recurrent hemoptysis. Bronchoscopy revealed normal major bronchial branches without bronchial atresia, indicating that sequestration of the lung was not confirmed. The anomalous drainage of the scimitar vein was to the inferior vena cava, and an anomalous artery from the aorta supplied the right basal lung. There were no findings of pulmonary hypertension and arteriovenous malformation such as an anomalous artery to the scimitar vein. The distal portions of anomalous arteries were embolized using gelatin sponge particles and the proximal portion was embolized using fibered detachable coils. Although a small pulmonary infarction was observed as a complication, the patie nt has not experienced any subsequence recurrence of the hemoptysis during a follow-up period of 6 months.

DISCUSSION AND EVALUATION: Deformities of the blood vessels and the lungs are frequently complex in scimitar syndrome. Although patients treated with surgical repair of this disorder may be at higher risk than those treated less invasively, we believe that transcatheter embolization was a useful strategy for the treatment of the anomalous systemic arterial supply to the basal lung, particularly in this patient with scimitar syndrome.

CONCLUSION: Hemoptysis in a patient with scimitar syndrome associated with anomalous systemic arterial supply to the basal lung was successfully treated with transcatheter arterial embolization. However, it might be better to avoid the use of gelatin sponge particles in patients with a similar anomaly without pulmonary artery distribution because of the possibility of causing severe pulmonary infarction.

Keywords: Anomalous systemic arterial supply to the basal lung; Hemoptysis; Scimitar syndrome; Transcatheter embolization

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