Shone syndrome

Dr Jeremy Jones and A.Prof Frank Gaillard et al.

Shone syndrome, also known as Shone complex, is a rare syndrome characterised by left-sided, obstructive congenital heart defects.

Shone syndrome is thought to be very rare, accounting for less than 1% of all congenital heart disease 1.

Patients, usually neonates and infants, present with signs and symptoms of congestive cardiac failure 1-3. On clinical examination, patients may have murmurs heard over both the aortic and mitral areas during precordial auscultation 4.

The complete Shone syndrome consists of four cardinal left-sided cardiac defects:  

Although four features were originally described, it is more common for patients to have incomplete Shone syndrome with only some of the obstructive lesions 3

Case studies have utilised both echocardiography and CT in order to identify each of the four obstructive cardiac defects in Shone syndrome 1,4

See individual articles for a detailed description of each defect.

Surgical intervention is required in all cases 2,3. Generally, patients will need multiple surgeries at initial presentation, as well as repeated surgeries throughout their life 2,3.

The syndrome is named after John D Shone (1924-2002), an English paediatric cardiologist, who described the constellation of features in his 1963 seminal paper 5.

Congenital heart disease

There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorised, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.

Share article

Article information

rID: 6278
Section: Syndromes
Synonyms or Alternate Spellings:
  • Shone's complex
  • Shone's syndrome
  • Shone complex

Support Radiopaedia and see fewer ads

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.