<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000200130</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complejo de Shone]]></article-title>
<article-title xml:lang="en"><![CDATA[Shone complex: a clinical case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villaseñor Díaz]]></surname>
<given-names><![CDATA[René Oswaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Luna]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos Escoto]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponce Partida]]></surname>
<given-names><![CDATA[Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Carrillo]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles León Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles León Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles León Departamento de Imagenología ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles León  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>130</fpage>
<lpage>134</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000200130&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  El denominado complejo de Shone es un conjunto de anormalidades congénitas cardiacas que involucran el lado izquierdo del corazón, muy poco frecuente y de diagnóstico extraordinario en adulto.  Caso clínico:  Femenino de 21 años que acudió a urgencias con disnea aguda. Se llegó al diagnóstico de complejo de Shone por ecocardiografía, estando presentes cinco niveles de obstrucción del corazón izquierdo que incluían: obstrucción supramitral, estenosis mitral, estenosis subaórtica, estenosis valvular aórtica y coartación aórtica. Se agregaron trombos en aurícula y ventrículo izquierdos; el cuadro mostró asociación a síndrome de preexcitación, la evolución llevó a su deceso en un lapso de cuatro horas a pesar de manejo intensivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Complejo de Shone]]></kwd>
<kwd lng="en"><![CDATA[Shone complex]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The developmental complex of "parachute mitral valve", supravalvular ring of left atrium, subaortic stenosis, and coarctation of aorta]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shone]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Sellers]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Adams]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lillehei]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
<name>
<surname><![CDATA[Edwards]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Cardiol]]></source>
<year>1963</year>
<volume>11</volume>
<page-range>714-25</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[MR findings in Shone's complex of left heart obstructive lesions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roche]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Genieser]]></surname>
<given-names><![CDATA[NB]]></given-names>
</name>
<name>
<surname><![CDATA[Ambrosino]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Henry]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatr Radiol]]></source>
<year>1998</year>
<volume>28</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>841-5</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Multiple left heart obstructions (Shone's anomaly) with mitral valve involvement long-term surgical outcome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brauner]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Laks]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Drinkwater Jr]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Scholl]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[McCaffery]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>1997</year>
<volume>64</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>721-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Mitral valve morphology and morbidity/mortality in Shone's complex]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ikemba]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Eidem]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
<name>
<surname><![CDATA[Fraley]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Eapen]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Pignatelli]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ayres]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Cardiol]]></source>
<year>2005</year>
<volume>95</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>541-3</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Atypical Shone's complex diagnosed by echocardiography]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ma]]></surname>
<given-names><![CDATA[XJ]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[GY]]></given-names>
</name>
<name>
<surname><![CDATA[Liang]]></surname>
<given-names><![CDATA[XC]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[XQ]]></given-names>
</name>
<name>
<surname><![CDATA[Jia]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Pediatr Cardiol]]></source>
<year>2011</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>442-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Advances in 3D echocardiography for mitral valve]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qamruddin]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Naqvi]]></surname>
<given-names><![CDATA[TZ]]></given-names>
</name>
</person-group>
<source><![CDATA[Expert Rev Cardiovasc Ther]]></source>
<year>2011</year>
<volume>9</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1431-43</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Parachute mitral valve in adults-a systematic overview]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hakim]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Kendall]]></surname>
<given-names><![CDATA[CB]]></given-names>
</name>
<name>
<surname><![CDATA[Alharthi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mancina]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Tajik]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Mookadam]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Echocardiography]]></source>
<year>2010</year>
<volume>27</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>581-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of congenital anomalies of the papillary muscles on mitral valve function]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rim]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[McPherson]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<source><![CDATA[J Med Biol Eng]]></source>
<year>2015</year>
<volume>35</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>104-12</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Operative results and outcomes in children with Shone's anomaly]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Ruzmetov]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vijay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Hoyer]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Girod]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rodefeld]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2005</year>
<volume>79</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1358-65</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Shone's complex]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Narvencar]]></surname>
<given-names><![CDATA[KPS]]></given-names>
</name>
<name>
<surname><![CDATA[Jaquese Costa]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Patil]]></surname>
<given-names><![CDATA[VR]]></given-names>
</name>
</person-group>
<source><![CDATA[JAPI]]></source>
<year>2009</year>
<volume>57</volume>
<page-range>415-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Shone complex]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chandra]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kharwar]]></surname>
<given-names><![CDATA[RB]]></given-names>
</name>
<name>
<surname><![CDATA[Mundhekar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[J Cardiovasc Ultrasound]]></source>
<year>2015</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>54-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Multi-modality imaging of an adult parachute mitral valve]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Purvis]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Smyth]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Barr]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Soc Echocardiogr]]></source>
<year>2011</year>
<volume>24</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>351.e1-3</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prenatal diagnosis of Shone's syndrome parental counseling and clinical outcome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zucker]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Levitas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zalzstein]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Ultrasound Obstet Gynecol]]></source>
<year>2004</year>
<volume>24</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>629-32</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Surgical strategies and outcomes in patients with Shone complex a retrospective review]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[St Louis]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Bannan]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Lutin]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
<name>
<surname><![CDATA[Wiles]]></surname>
<given-names><![CDATA[HB]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2007</year>
<volume>84</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1357-62</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Repair of left ventricular inflow tract lesions in Shone's anomaly valve growth and long-term outcome]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delmo-Walter]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Van Praagh]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Miera]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Hetzer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2013</year>
<volume>95</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>948-55</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
