Shone's complex

Kedareshwar P S Narvencar1, Ana Karina Jaques e Costa, Vijaysinh R Patil

  • 1Department of Medicine, Goa Medical College, Bambolim Goa.

Insights

Shone's complex, a rare congenital heart condition, involves multiple left-sided heart obstructions. This case report details a complete form of Shone's complex unexpectedly found in an adult patient.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Medical Case Reports

Background:

  • Shone's complex is a rare congenital heart disease.
  • It is characterized by multiple left-sided obstructive lesions.
  • These lesions include supravalvar mitral ring, parachute mitral valve, subaortic stenosis, and coarctation of the aorta.

Observation:

  • This case report focuses on a complete form of Shone's complex.
  • The condition was incidentally detected in an adult patient.
  • This presentation is unusual as Shone's complex is typically diagnosed in infancy or childhood.

Findings:

  • The study describes a rare case of complete Shone's complex.
  • The diagnosis was made incidentally in an adult.
  • This highlights the potential for delayed or missed diagnoses in adults with congenital heart conditions.

Implications:

  • This case underscores the importance of considering congenital heart disease in adult diagnoses.
  • It may prompt further investigation into the long-term presentation of Shone's complex.
  • Understanding these rare presentations can improve diagnostic strategies and patient outcomes.

Related Concept Videos

The Antenna Complex01:15

The Antenna Complex

Plants and other photosynthetic organisms comprise pigments capable of absorption of direct sunlight. These pigments are present in the reaction center - the main site of photochemical reactions as well as in the antenna complex. Under average light conditions, the rate at which reaction center pigments absorb light is far below the electron transport chain's capacity. As a result, the reaction center alone cannot provide enough energy to drive photosynthesis. The photosynthetic efficiency can...
Complex Power01:14

Complex Power

Power engineers have introduced the concept of complex power to determine the cumulative effect of parallel loads. This idea plays a crucial role in power analysis because it encompasses all the details related to the power consumed by a specific load.
Complex power is defined as the multiplication of the voltage and the complex conjugate of the current. The magnitude of this power, known as apparent power, is measured in volt-amperes (VA). Notably, the angle of the complex power equates to the...
Blinding01:11

Blinding

Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
Complex Zeros01:29

Complex Zeros

Complex zeros are the solutions to polynomial equations that include imaginary numbers, specifically, numbers of the form a + bi, where a and b are real numbers and i is the imaginary unit defined by i2=-1. These zeros satisfy the equation P(x) = 0, where P(x) is a polynomial with real or complex coefficients. Since the complex number system includes all real numbers, it provides a complete framework for analyzing all possible roots of a polynomial.Every polynomial of degree n≥1 can be...
Chambers of the Heart01:16

Chambers of the Heart

The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Cohesins02:20

Cohesins

Cohesin protein complexes are a molecular glue that holds two sister chromatids together. They play an important role both in mitosis and meiosis. In mitosis, all cohesin complexes present on the chromosomes are removed before the start of the anaphase stage.
Cohesin complexes in Meiotic Division
Meiosis involves two distinct rounds of chromosomal segregation and cell divisions— Meiosis I followed by Meiosis II – producing four daughter cells. Meiosis I includes the separation of homologous...