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Dr. Andrew Rynne

Family Physician

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Suggest Treatment For Scimitar Syndrome In Fetus

I am 31 weeks pregnant with my secnd child. During an ultrasound they discovered my son is missing his right lung and his heart is on the right side of his chest. With several ultrasounds the docs say his heart is strong, formed correctly n the right size. They cannot see the vein that would be connected to us right lung leading into his heart. I m wondering what type of life I can expect him to have? Will he need surgery? The say it might be schmitar syndrome. Any info you have is greatly appreciated. Also if I were to,have another baby, is there a higher chance of the next baby having it. The father n I have no history of this in the family n my first son is,very healthy, strong n a genius child.
Fri, 1 Feb 2019
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Pediatrician 's  Response
Hi,

Some heart problem was detected in the fetus. From the description you have given, it looks more like partial anomalous pulmonary venous connection(PAPVC), where there will be abnormal drainage of pulmonary vessels into the heart.

Scimitar syndrome is one of the type of PAPVC, where right pulmonary vein drain into inferior vena cava (large blood vessel draining lower part of body ) instead of right heart.

Usually, children with scimitar syndrome may have recurrent chest infections and raised pulmonary pressures due to increased blood flow to the lungs.

With surgical correction of abnormal drainage, children will do better, provided their lung development is normal and no other associated anomalies.

I know its very distressing thing to know for parents but don't lose hope, your baby will be alright. Scimitar syndrome will not be inherited to subsequent children. Risk of other children getting is very very low.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Nirubhan Bharathy, Pediatrician
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Suggest Treatment For Scimitar Syndrome In Fetus

Hi, Some heart problem was detected in the fetus. From the description you have given, it looks more like partial anomalous pulmonary venous connection(PAPVC), where there will be abnormal drainage of pulmonary vessels into the heart. Scimitar syndrome is one of the type of PAPVC, where right pulmonary vein drain into inferior vena cava (large blood vessel draining lower part of body ) instead of right heart. Usually, children with scimitar syndrome may have recurrent chest infections and raised pulmonary pressures due to increased blood flow to the lungs. With surgical correction of abnormal drainage, children will do better, provided their lung development is normal and no other associated anomalies. I know its very distressing thing to know for parents but don t lose hope, your baby will be alright. Scimitar syndrome will not be inherited to subsequent children. Risk of other children getting is very very low. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Nirubhan Bharathy, Pediatrician