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A Rare Case of Partial Anomalous Pulmonary Venous Return (Scimitar Syndrome) with Vaginal Agenesis and a History of Infantile Imperforated Anus

Year: 2025

Type: article

Abstract: Scimitar syndrome is a rare congenital cardiac anomaly characterized by abnormal drainage of the right pulmonary veins into the inferior vena cava (IVC). Here, we report the case of a 26-year-old female diagnosed with scimitar syndrome (SS), with a history of imperforate anus and vaginal agenesis, consistent with a VACTERL association. The imperforate anus was identified and treated in infancy, whereas the vaginal agenesis was diagnosed at menarche. Additionally, the patient presented with a large atrial septal defect (ASD) and a hypoplastic right lung alongside SS. This case underscores the potential correlation between SS, vaginal agenesis, and imperforate anus as features within the VACTERL spectrum.

Source: Case Reports in Clinical Practice

DOI: 10.18502/crcp.v10i1.19473

Authors: Maziar Karamnejad, Mahdis Nazari, Ehsan Parvas, Reza Elahi, Amir Ghaffari JolfayiJolfayi, Kyomars Abbasi

Institutions: Tehran Heart Center, Tehran University of Medical Sciences, Zanjan University of Medical Sciences, Iran University of Medical Sciences, Shaheed Rajaei Cardiovascular Medical and Research Center

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414005975

FWCI:

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