en Clinical Medicine Clinical Medicine گزارش موردی Case Report Article <p style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Times New Roman;">Shone syndrome is a rare congenital cardiac abnormality; however, many of the cases remain undiagnosed until early and middle adulthood. Different imaging modalities are used to assess the related structural abnormalities. In this case study, we report a 32-year-old woman who was planning her first pregnancy. In light of her childhood heart problems, in addition to a history of extended penicillin prescriptions for several years, she was referred for complementary assessments. At the time of presentation, she was asymptomatic. Imaging results showed several structural obstructive left-sided lesions and pulmonary artery hypertension. Ultimately, the patient was diagnosed with congenital shone syndrome, which was initially misdiagnosed. Shone complex in our case was presented in its full form, which could be potentially fatal in case of pregnancy.</span></span></p> Congenital heart disease, Echocardiography, Shone syndrome, Shone’s complex, Pregnancy 204 206 http://journal.zums.ac.ir/browse.php?a_code=A-10-5252-3&slc_lang=en&sid=1 Niloufar Samiei drnsamiei@gmail.com 5200319475328460075616 5200319475328460075616 No Heart Valve Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran Sepehr Gohari Sepehr_goharibdb@yahoo.com 5200319475328460075617 5200319475328460075617 No Student Research Committee, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran Hassan Ahangar hassan.ahangar@yahoo.com 5200319475328460075618 5200319475328460075618 Yes Dept. of Cardiology, Mousavi Hospital, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran