Atypical Shone's Complex Diagnosed at 70 Years Old: Presenting with Double-orifice Mitral Valve, Bicuspid Aortic Valve, and Aortic Coarctation

Atypical Shone's complex is a rare congenital anomaly involving a left-sided obstructive lesion of two or three cardiovascular levels. A 70-year-old man with dyspnea on exertion was diagnosed with severe aortic stenosis (AS) with a bicuspid valve, complicated by severe aortic coarctation (CoA)...

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Veröffentlicht in:Internal Medicine 2022/05/01, Vol.61(9), pp.1367-1370
Hauptverfasser: Kaneko, Tomohiro, Miyazaki, Sakiko, Koike, Takuma, Murata, Azusa, Morimoto, Ryoko, Hirose, Kuniaki, Takamura, Kazuhisa, Endo, Daisuke, Amano, Atsushi, Minamino, Tohru
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container_issue 9
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container_title Internal Medicine
container_volume 61
creator Kaneko, Tomohiro
Miyazaki, Sakiko
Koike, Takuma
Murata, Azusa
Morimoto, Ryoko
Hirose, Kuniaki
Takamura, Kazuhisa
Endo, Daisuke
Amano, Atsushi
Minamino, Tohru
description Atypical Shone's complex is a rare congenital anomaly involving a left-sided obstructive lesion of two or three cardiovascular levels. A 70-year-old man with dyspnea on exertion was diagnosed with severe aortic stenosis (AS) with a bicuspid valve, complicated by severe aortic coarctation (CoA) and a double-orifice mitral valve. He underwent surgery for AS and CoA in one session. It is important to search for complicated malformations, even in cases of bicuspid aortic valve found in old age.
doi_str_mv 10.2169/internalmedicine.8176-21
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ispartof Internal Medicine, 2022/05/01, Vol.61(9), pp.1367-1370
issn 0918-2918
1349-7235
language eng
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source J-STAGE Free; MEDLINE; PubMed Central Open Access; PubMed Central
subjects Aged
aortic coarctation
Aortic Coarctation - diagnosis
Aortic Coarctation - diagnostic imaging
Aortic stenosis
Aortic valve
Aortic Valve - abnormalities
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
bicuspid aortic valve
Bicuspid Aortic Valve Disease
Case Report
double-orifice mitral valve
Dyspnea
forme fruste of Shone's complex
Heart Defects, Congenital - surgery
Humans
Internal medicine
Male
Mitral valve
Mitral Valve - abnormalities
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Respiration
Shone's complex
title Atypical Shone's Complex Diagnosed at 70 Years Old: Presenting with Double-orifice Mitral Valve, Bicuspid Aortic Valve, and Aortic Coarctation
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