Discovery of a parachute mitral valve complex (Shone's anomaly) in an adult

Parachute mitral valve complex is an unusual congenital anomaly described b y Shone et al. It is characterized by a parachute deformity of the mitral v alve associated with additional forms of left heart anomalies, such as aort ic valvular stenosis and coarctation. of the aorta. Fewer than 50 cases of Shone's complex have been reported in the literature, and it has only been observed in children. We report the case of a 33-year-old man, who was refe rred to our department because of atrial fibrillation. Echocardiographic ev aluation and aortogram evidenced a! Shone's complex including a: parachute mitral valve anomaly, an aortic bicuspid valvular anomaly, and a coarctatio n of the aorta.