{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:32:28Z","timestamp":1793377948699,"version":"4.5.0"},"reference-count":0,"publisher":"Saudi Heart Association","issue":"1","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Saudi Heart Association"],"abstract":"<jats:p>Background:\nShone\u2019s complex is a rare CHD, often including supravalvular mitral ring, parachute MV, subaortic stenosis, and coarctation of the aorta. Variants of this complex have been reported with considerable anatomical and clinical heterogeneity.  Case Presentation:\na 14-year-old girl with severe cachexia (BMI 12.37) and cardiac failure, referred for CHD evaluation. Echocardiography and CT revealed a bicuspid AV, severe valvular and subvalvular aortic stenosis, subaortic membrane, muscle ridge causing LVOT obstruction, dilated LV with EF 25\u201330%, and VSD.  Intervention:\nMV replacement, Konno procedure with LVOT and annular enlargement, AV replacement, and TV repair. She had an uneventful ICU course<\/jats:p>","DOI":"10.37616\/2212-5043.1489","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T19:04:22Z","timestamp":1775761462000},"source":"Crossref","is-referenced-by-count":0,"title":["Late Presentation of Shone\u2019s Complex with Severe Left Ventricular Dysfunction"],"prefix":"10.37616","volume":"38","author":[{"given":"Refal","family":"Mahrouqi","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asayil","family":"Almarjan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, King Abdullah Medical City, Makkah (KAMC), Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheeren","family":"Khaled","sequence":"additional","affiliation":[{"name":"Department of Cardiology, King Abdullah Medical City, Makkah (KAMC), Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ELNAZEER  O","family":"AHMED","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, King Abdullah Medical City, Makkah (KAMC), Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"24531","published-online":{"date-parts":[[2026,4,8]]},"container-title":["Journal of the Saudi Heart Association"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T15:36:00Z","timestamp":1793374560000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.j-saudi-heart.com\/jsha\/vol38\/iss1\/13"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,8]]}},"URL":"https:\/\/doi.org\/10.37616\/2212-5043.1489","relation":{},"ISSN":["2212-5043"],"issn-type":[{"value":"2212-5043","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,8]]}}}