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Atypical Shone's Complex Diagnosed at 70 Years Old: Presenting with Double-orifice Mitral Valve,Bicuspid Aortic Valve,and Aortic Coarctation
Authors:Tomohiro Kaneko  Sakiko Miyazaki  Takuma Koike  Azusa Murata  Ryoko Morimoto  Kuniaki Hirose  Kazuhisa Takamura  Daisuke Endo  Atsushi Amano  Tohru Minamino
Affiliation:1.Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Japan; 2.Department of Cardiovascular Biology and Medicine, Juntendo University Faculty of Medicine, Japan; 3.Department of Cardiovascular Surgery, Juntendo University School of Medicine, Japan
Abstract:
Atypical 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.
Keywords:Shone''s complex   forme fruste of Shone''s complex   double-orifice mitral valve   bicuspid aortic valve   aortic coarctation
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