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Obstructive membrane in arch of aorta in a case of Shone's complex

Divyesh H Sadadiwala1, Kunal A Soni

  • 1Department of Pediatric Cardiology, Bhanubhai and Madhuben Patel Cardiac Centre, Anand, Gujarat, India.

Annals of Cardiac Anaesthesia
|July 4, 2015
PubMed

Insights

Shone's complex, a rare heart condition, typically involves multiple left-sided obstructions. This case highlights an unusual aortic arch obstructive membrane, a previously undescribed feature in Shone's complex.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Shone's complex is characterized by multiple left-sided heart obstructions.
  • The spectrum of left-sided obstructive lesions in Shone's complex is considered well-defined.
  • An obstructive membrane in the aortic arch has not been previously reported as part of Shone's complex.

Observation:

  • This report details the echocardiographic findings in a pediatric patient diagnosed with Shone's complex.
  • The patient presented with an unusual obstructive membrane located in the aortic arch.
  • This finding represents a novel anatomical variation within the context of Shone's complex.

Findings:

  • Echocardiography revealed multisite obstruction consistent with Shone's complex.
  • A distinct obstructive membrane was identified in the aortic arch, a previously undocumented feature.
  • The echocardiographic data provided clear visualization of the complex cardiac anatomy.

Implications:

  • This case expands the known anatomical spectrum of Shone's complex.
  • It underscores the importance of comprehensive echocardiographic evaluation in diagnosing complex congenital heart disease.
  • Further research may be warranted to understand the frequency and clinical significance of aortic arch membranes in Shone's complex.

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