Key result
This review outlines the anatomy, physiology, and perioperative anesthetic management of patients with Shone's complex, a congenital disease causing left ventricular inflow and outflow obstruction.
Why the study?
The complex pathology of Shone's complex causes left ventricular inflow and outflow obstruction, requiring careful management and surgical decision-making to optimize outcomes.
This review provides an overview of the anatomy, physiology, and perioperative anesthetic management of patients with Shone's complex.
May aid perioperative planning in Shone's complex; leaves open need for prospective outcome studies.
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.
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Landsem et al. (2023) conducted a review in Shone's complex. Perioperative anesthetic management was evaluated. This review outlines the anatomy, physiology, and perioperative anesthetic management of patients with Shone's complex, a congenital disease causing left ventricular inflow and outflow obstruction.
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