Perioperative and Anesthetic Considerations in Shone's Complex.
Leah LandsemNicholas BrownRyan CoxFaith J RossPublished in: Seminars in cardiothoracic and vascular anesthesia (2023)
Shone's complex is a congenital cardiac disease consisting of the following four lesions: parachute mitral valve, supravalvar mitral ring, subaortic stenosis, and aortic coarctation. Though not all components are required for a diagnosis, the end result is both left ventricular inflow and outflow obstruction, which typically present in patients as congestive heart failure. The complex pathology requires careful management and surgical decision-making to ensure an optimal outcome. This review will focus on the anatomy, physiology, and perioperative anesthetic management of patients with Shone's complex.
Keyphrases
- left ventricular
- mitral valve
- heart failure
- left atrial
- decision making
- end stage renal disease
- cardiac resynchronization therapy
- aortic stenosis
- patients undergoing
- hypertrophic cardiomyopathy
- ejection fraction
- cardiac surgery
- chronic kidney disease
- acute myocardial infarction
- aortic valve
- acute coronary syndrome
- pulmonary hypertension
- patient reported outcomes
- aortic dissection
- patient reported