• Internal medicine · May 2022

    Case Reports

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

    • Tomohiro Kaneko, Sakiko Miyazaki, Takuma Koike, Azusa Murata, Ryoko Morimoto, Kuniaki Hirose, Kazuhisa Takamura, Daisuke Endo, Atsushi Amano, and Tohru Minamino.
    • Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan.
    • Intern. Med. 2022 May 1; 61 (9): 136713701367-1370.

    AbstractAtypical 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.

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