Congenital Horner and Scimitar syndrome in a newborn: a previously unreported combination. Issue 11 (30th November 2020)

• Record Type: Journal Article
• Authors: Carvalho, Joana; Maia, Mariana; Mota, Ágata; Martins, Teresa
• Is Part Of: BMJ case reports. Volume 13:Issue 11(2020)
• Publication Date: 2020-11-30
• Subjects: congenital disorders -- neonatal health; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-238018
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Here we report a case of a term newborn presenting with left palpebral ptosis, anisocoria and heterochromia as well as cleft palate and heart murmur. Congenital Horner syndrome was suspected and a thoracoabdominal CT scan was performed to rule out neuroblastoma. This revealed an anomalous drainage of right pulmonary veins to a collector that drains to the inferior vena cava, leading to the diagnosis of Scimitar syndrome. Echocardiogram showed an ostium secundum atrial septal defect, enlarged right chambers and a dilated coronary sinus due to a persistent left superior vena cava. The combination of Horner and Scimitar syndrome has never been described before. This case should encourage clinicians to use a multidisciplinary approach in order to guarantee an adequate diagnosis and management.