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Role of perioperative echocardiography in repair of incomplete shone complex: A case series


1 Department of Anaesthesia and Critical Care, Army Hospital (Research and Referral), New Delhi, India
2 Departments of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Alok Kumar
Department of Anaesthesia and Critical Care, Army Hospital (R and R), Delhi - 110 010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_80_18

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Year : 2019  |  Volume : 22  |  Issue : 4  |  Page : 444-448

 

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Multilevel obstruction of left-sided heart structures was originally characterized by Shone et al. The formulation of an appropriate operative strategy remains challenging and needs to be individualized for this complex subset of patients. Intraoperative transesophageal echocardiography (TEE) not only helps in delineating spatial anatomy but also reveals associated anomalies that help in decision-making regarding operative strategies for these patients. Here, we discuss five such cases of Shone's anomaly presenting at varied age group with different associated anomaly in which intraoperative TEE played a pivotal role in the management.






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1 Department of Anaesthesia and Critical Care, Army Hospital (Research and Referral), New Delhi, India
2 Departments of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Alok Kumar
Department of Anaesthesia and Critical Care, Army Hospital (R and R), Delhi - 110 010
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_80_18

Rights and Permissions

Multilevel obstruction of left-sided heart structures was originally characterized by Shone et al. The formulation of an appropriate operative strategy remains challenging and needs to be individualized for this complex subset of patients. Intraoperative transesophageal echocardiography (TEE) not only helps in delineating spatial anatomy but also reveals associated anomalies that help in decision-making regarding operative strategies for these patients. Here, we discuss five such cases of Shone's anomaly presenting at varied age group with different associated anomaly in which intraoperative TEE played a pivotal role in the management.






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