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Atypical Shone's complex diagnosed by echocardiography

Xiao-jing Ma1, Guo-ying Huang, Xue-cun Liang

  • 1Children's Hospital of Fudan University, Shanghai, China, 399 Wan Yuan Road, Shanghai, 201102, People's Republic of China.

Pediatric Cardiology
|February 1, 2011
PubMed

Insights

Echocardiography effectively diagnoses atypical Shone's complex, a severe congenital heart defect involving multiple left-sided obstructions. This study highlights echocardiography's crucial role in identifying the number, position, and severity of these cardiovascular lesions.

Area of Science:

  • Cardiovascular Medicine
  • Pediatric Cardiology
  • Diagnostic Imaging

Background:

  • Shone's complex is a rare, severe congenital condition characterized by multiple left-sided cardiovascular obstructive lesions.
  • Accurate diagnosis is crucial for timely intervention and management of this complex pediatric cardiac anomaly.

Purpose of the Study:

  • To present the experience and diagnostic utility of echocardiography in identifying atypical Shone's complex.
  • To detail the spectrum of left-sided obstructive lesions and secondary cardiovascular changes associated with atypical Shone's complex.

Main Methods:

  • Retrospective analysis of 38 consecutive pediatric patients diagnosed with atypical Shone's complex using echocardiography.
  • Echocardiographic findings were correlated with cardioangiography and/or surgical data for confirmation.
  • Detailed assessment of the number, location, morphology, and severity of obstructive lesions.

Main Results:

  • Echocardiography successfully diagnosed atypical Shone's complex in all 38 patients.
  • Commonly observed lesions included coarctation of the aorta (26 cases), aortic stenosis (25 cases), and mitral stenosis (24 cases).
  • Secondary changes such as left atrial dilation, left ventricular hypertrophy, and pulmonary hypertension were frequently noted.

Conclusions:

  • Echocardiography is a vital tool for the comprehensive diagnosis of atypical Shone's complex.
  • The modality allows for detailed evaluation of multiple obstructive lesions and associated cardiac remodeling, guiding clinical management.

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