Background:

Shone complex is a set of congenital cardiac abnormalities involving the left side of the heart, it is infrequent, and extraordinary in adult life.

Clinical case:

Female 21 who visited the emergency department with acute dyspnea, in whom the diagnosis was Shone complex by echocardiography, finding five levels of obstruction of the left heart, including: supramitral obstruction, mitral stenosis, subaortic stenosis, aortic stenosis and aortic coarctation; finding also like complication thrombi in left atrium and ventricle, associated with preexcitation syndrome; her evolution was torpid with death over a period of four hours despite intensive management.