Goswami Nilesh J, Wen Tony S, Freeman Gregory L
Department of Medicine, Division of Cardiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA.
Tex Heart Inst J. 2003;30(3):214-7.
We describe an unusual presentation of congenital heart disease mimicking preeclampsia in a young, gravid girl. The diagnosis of Shone's complex was confirmed by echocardiography. This complex is manifested by multiple levels of obstruction involving the left side of the heart and the systemic circulation. It is extremely rare, especially in pregnant adolescents. We briefly describe the patient's clinical history, physical examination, and treatment, as well as our clinical decisions regarding her case. The discussion focuses on the spectrum of findings in Shone's complex and the physiologic impact of therapy on this patient.
我们描述了一名年轻的怀孕女孩中先天性心脏病模仿先兆子痫的不寻常表现。经超声心动图证实为肖恩综合征。该综合征表现为涉及心脏左侧和体循环的多个梗阻层面。它极为罕见，尤其是在怀孕的青少年中。我们简要描述了患者的临床病史、体格检查和治疗情况，以及我们针对她的病例所做的临床决策。讨论重点在于肖恩综合征的一系列表现以及治疗对该患者的生理影响。
