It is not asthma! An arcane case of ‘Scimitar’ syndrome: A case report

Author: Ganapathi Palaniappan ¹ ; Nurul Yaqeen Mohd Esa ^{2
,

3} ; Zamzurina Abu Bakar ⁴
Author Information

1. Department of Medicine, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
2. Centre for Respiratory Medicine &
3. Sleep Health, UiTM Medical Centre, Sungai Buloh, Selangor, Malaysia
4. Institute of Respiratory Medicine, Kuala Lumpur, Kementerian Kesihatan Malaysia, Kuala Lumpur, Malaysia
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2020;75(2):184-185
CountryMalaysia
Language:English
Abstract: ‘Scimitar’ syndrome in adulthood is usually asymptomatic. Significant structural abnormalities symptoms usually manifest early during infancy or young childhood with features of congestive heart failure from significant shunting of the anomalous pulmonary venous drainage. Diagnosis of ‘Scimitar’ Syndrome in adults is rare and usually an incidental finding on chest radiograph. Here, we report a case of an adult who presented with symptoms in her 40’s. This syndrome has never been reported nor discussed in Malaysia. This is the first case report of ‘Scimitar’ Syndrome in Malaysian literature. The diagnostic dilemma, medical management, and multi-disciplinary management by cardiology, physiotherapy and pulmonary rehabilitation teams are discussed.