Incomplete Shone’s complex in the sixth decade of life: echo and cardiac magnetic resonance imaging assessment

Lorenzo, N Di; Claver, Eduard; Alió, Josefina; Aguilar, Río

doi:10.1093/eurheartj/ehw390

Cited by 6 publications

(7 citation statements)

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“…Shone complex must be diagnosed or suspected by echo; however, multimodality imaging allows better evaluation of intra and extra-cardiac obstructive. 5 , 6 If either component of Shone complex is detected, a comprehensive work up is essential and should be performed to proceed with proper surgical and medical management. Management of patients with Shone complex is usually performed in stages.…”

Section: Discussionmentioning

confidence: 99%

The Appearance of an Underrecognized Congenital Heart Disease in a Patient With COVID-19 Pneumonia

Lakhdar

Buttar

Hassan

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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A 60-year-old woman presented to the emergency department with worsening shortness of breath and non-productive cough for 1 week, which was preceding a recent COVID-19 infection. At the time the patient thought this was part of the constellation of symptoms of COVID-19, so she stayed home until her symptoms worsened to the point of needing hospitalization. The patient was found to have a rare and complex congenital heart disease that led her to develop acute heart failure precipitated by COVID-19 pneumonia. Medical management and surgical repair were essential in this patient given the late presentation.

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Section: Discussionmentioning

confidence: 99%

The Appearance of an Underrecognized Congenital Heart Disease in a Patient With COVID-19 Pneumonia

Lakhdar

Buttar

Hassan

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

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“…Dr. John D. Shone and his colleagues in 1963 described for the first time a very rare CHD which was later on named after him [3]. Four congenital obstructive or potentially-obstructive left-sided lesions compose the complex; namely aortic coarctation, parachute mitral valve (PMV), supravalvular mitral ring and subaortic stenosis [4]. Worthy to note that Tetralogy of Fallot (TOF) the commonest cyanotic CHD also consists of 4 lesions but exists on the right side of the heart [2].…”

Section: Commentarymentioning

confidence: 99%

“…The malformation of PMV refers to a bi-leaflet mitral valve (MV) with 2 commissures in which the chordae join together to insert into one chief papillary muscle instead of two [4]. The supravalvular ring of the left atrium (LA) is a circumferential ridge of connective tissue that arises at the base of the atrial surfaces of the mitral leaflets and protrudes into the MV inlet.…”

Section: Commentarymentioning

confidence: 99%

“…The supravalvular ring of the left atrium (LA) is a circumferential ridge of connective tissue that arises at the base of the atrial surfaces of the mitral leaflets and protrudes into the MV inlet. Two types of subaortic stenosis were originally described (muscular and membranous) [4,5].…”

Section: Commentarymentioning

confidence: 99%

“…The diagnosis of Shone complex is basically made on clinical grounds and must be confirmed by echocardiography and/or magnetic resonance imaging (MRI) [4]. Although most cases are detected at childhood [5], late diagnosis at adulthood has been infrequently reported [3,4].…”

Section: Commentarymentioning

confidence: 99%

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Commentary: Shone complex.

Shehatha¹

2018

cardiovascular-surgery

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Shone syndrome revealed by treatment-resistant hypertension

Boulouiz

Kossir

Mouedder

et al. 2021

Annals of Medicine and Surgery

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Introduction and importance: Shone complex is a congenital heart defect consisting of four obstructive defects in the left heart: a mitral supravalvular ring, sub-aortic stenosis, parachute mitral valve, and coarctation of the aorta (CoA), which affects only a small minority of people. Case presentation We report the case of a 25-year-old woman with a past medical history of moderate mitral stenosis, since she was 10-year-old with uncontrolled high blood pressure, treated with nicardipine. admitted to our emergency department with high blood pressure: 190/80 mmhg, in whom The transthoracic echocardiography (TTE) revealed: sub-mitral membrane, with a single sub-papillary muscle, and coarctation of the aorta and the CT scan showed narrowed aortic arch and a left superior vena cava allowing to retain shone syndrome as the main diagnosis. The patient was treated with an antihypertensive treatment combining (perindopril/indapamide/amlodipine) while waiting for surgery. Clinical discussion In this mini-review, we aim to describe this rare pathological condition its pathophysiological thoughts, and the way to diagnosis this complex early. Conclusion Treatment required the coordinated efforts of a team of specialists. It could be either surgical with different method or by Trans catheter treatments.

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Incomplete Shone’s complex in the sixth decade of life: echo and cardiac magnetic resonance imaging assessment

Cited by 6 publications

References 0 publications

The Appearance of an Underrecognized Congenital Heart Disease in a Patient With COVID-19 Pneumonia

The Appearance of an Underrecognized Congenital Heart Disease in a Patient With COVID-19 Pneumonia

Commentary: Shone complex.

Shone syndrome revealed by treatment-resistant hypertension

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