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1 Resident in Radiology, Boston University Medical Center
2 Assistant Clinical Professor in Pediatrics, Yale University School of Medicine; Director, Cardiovascular Laboratory, Bridgeport Hospital
3 Associate Professor of Radiology, Harvard Medical School
A 51-year-old woman presented with clinical and chest x-ray film findings simulating partial anomalous pulmonary venous return below the diaphragm (scimitar syndrome). Angiography, however, revealed the scimitar vein turned cephalad at the diaphragm and drained into the left side of the left atrium. It is postulated that the abnormal left atrial drainage is via persistent thebesian veins.
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