An Incomplete Form of Shone’s Complex With Double Orifice Mitral Valve

Authors

  • Petar Risteski, MD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Oana Bartos, MD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Aleksandra Miskovic, MD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany
  • Thomas Walther, MD, PhD Department of Thoracic and Cardiovascular Surgery, University Hospital Frankfurt, Frankfurt am Main, Germany

DOI:

https://doi.org/10.1532/hsf.3239

Keywords:

double orifice mitral valve, Shone’s complex, Barlow disease, bicuspid aortic valve

Abstract

We present the case of an adult male patient with an incomplete form of Shone’s complex associated with bicuspid aortic valve and a double orifice mitral valve. Intraoperative inspection of the mitral valve showed double orifice configuration with a small, rudimentary left-sided mitral valve and a large, dominant, right-sided parachute mitral valve with Barlow-type of degeneration. The patient underwent reconstruction of both valves through a minimally invasive incision. At one year echocardiographic control both valves function normally.

References

Aslam S, Khairy P, Shohoudi A, et al. 2017. Shone complex: an under-recognized congenital heart disease with substantial morbidity in adulthood. Can J Cardiol 33(2):253- 259.

Chen Z, Kong WKF, Tay ELW, Petersson F, Poh KK. 2018. Double-orifice Barlow's mitral valve. Eur Heart J. 39(14):1208-1209.

Greenfield WS. 1876. Double mitral valve. Transactions of the Pathological Society of London. 27:128–129.

Kocabaş A, Ekici F, Çetin İ, Aktaş D. 2014. Three-dimensional echocardiographic evaluation of a patient with double-orifice mitral valve, bicuspid aortic valve, and coarctation of aorta. Echocardiography. 31(1):E33-4.

Salas J, Prieto JA, De Vega G, et al. 1981. Mitral valve with double orifice associated with a bicuspid aortic valve and coarctation of the aorta. Apropos of a case. Rev Esp Cardiol. 34(1):85-8.

Schneider U, Hofmann C, Aicher D, et al. 2017. Suture annuloplasty significantly improves the durability of bicuspid aortic valve repair. Ann Thorac Surg 103(2):504-510.

Shehatha JS, Taha AY, Mirza AJ. 2018. Late Shone complex: a case report and literature review. Journal of Egyptian Society of Cardio-Thoracic Surgery. 26(2):133-135.

Shih BC, Lim JH, Min J, Kim ER, Kwak JG, Kim WH. 2019. Incomplete form of Shone complex in adult congenital heart disease patient. Korean J Thorac Cardiovasc Surg 52(2):100-104.

Shone JD, Sellers RD, Anderson RC, et al. 1963. The developmental complex of “parachute mitral valve,” supravalvular ring of left atrium, subaortic stenosis, and coarctation of aorta. Am J Cardiol 11:714–725.

Published

2021-02-02

How to Cite

Risteski, P., Bartos, O., Miskovic, A., & Walther, T. (2021). An Incomplete Form of Shone’s Complex With Double Orifice Mitral Valve. The Heart Surgery Forum, 24(1), E079-E081. https://doi.org/10.1532/hsf.3239

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