18 Sep 2020, 20:39
Harry Ridwan Dibaca : 318Parachute Mitral Valve and Hipoplastic Aorta and Left Ventricle Presented as Shone’S Complex Diagnosed with Echocardiography
Firizkita Dewi , Srie Endah Rahayuningsih, M.D
Subdivision of Pediatric cardiology, Departement of Cardiovascular Medicine, Padjadjaran University, Hasan Sadikin General Hospital
Abstract
The shone’s complex, defined by four cardiovascular defect such as supravalvular mitral membrane, valvular mitral stenosis by a parachute mitral valve, subaortic stenosis and aortic coarctation. Some define the anomaly as consisting of a congenitally abnormal MV along with 2 other obstructive lesion in the left heart or systemic circulation, is a rare entity, which occurs most frequently in its incomplete form.1 We report a case of a 5-year-old female patient presented at the emergency departement for progressively worsening dyspnea, fever, and productive cough, due to bronchopneumonia, cyanosis. Echocardiography revealed the co-existence of left ventricle and aortic hipoplastic, severe mitral stenosis due to parachute mitral valve, VSD and a large PDA . Antibiotics wide spectrums was administered since admission in emergency departement, , after nine day hospitalization pneumonia showed progression but the family refused any further investigation, treatment, and was discharged againts medical advice. So Further assesment and intervention cannot be established
Pengirim : Firizkita Dewi, M. D.