[Shone's anomaly Fallbericht und Hintergrund]

Area of Science:

• Cardiology
• Anesthesiology
• Medical Case Reports

Background:

• Shone's anomaly is a rare congenital heart condition characterized by four obstructive cardiac lesions.
• It is typically described in pediatric patients, with limited literature on adult perioperative presentations.

Observation:

• An adult patient with undiagnosed, incomplete Shone's anomaly presented for non-cardiac surgery.
• The anomaly included supravalvular mitral ring, mitral/subvalvular apparatus deformity, subvalvular aortic stenosis, and coarctation of the aorta.

Findings:

• The case report details the anesthetic management of this adult patient with unrecognized Shone's anomaly.
• It underscores the potential for incomplete forms of the anomaly to go undiagnosed into adulthood.

Implications:

• Highlights the need for heightened awareness of Shone's anomaly in adult patients undergoing non-cardiac surgery.
• Suggests that anesthesiologists should consider this rare condition in patients with complex cardiac histories or unexplained symptoms.
• Emphasizes the importance of thorough preoperative assessment for potentially undiagnosed congenital heart disease.