Criss-cross heart evaluated by colour Doppler echocardiography and magnetic resonance imaging

Igarashi, Hiroaki; Kuramatsu, Toshihiro; Shiraishi, Hiroaki; Yanagisawa, M.

doi:10.1007/bf01957683

Cited by 13 publications

(4 citation statements)

References 9 publications

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“…Postnatal presentation varies and may include cyanosis, heart failure or a murmur, depending on the full sequential diagnosis and associated abnormalities. The diagnosis can be established by echocardiography, angiocardiography and magnetic resonance imaging 9,10 . It appears to be an isolated cardiac finding with no associated extracardiac or chromosomal abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Criss‐cross heart: report of three cases with double‐inlet ventricles diagnosed in utero

Ngeh

Api

Iasci

et al. 2008

Ultrasound in Obstet & Gyne

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Criss-cross heart is a rare congenital cardiac anomaly characterized by crossing of the inflow streams of the two ventricles, due to an apparent twisting of the heart about its long axis and when the axes of the openings of the atrioventricular (AV) valves CASE REPORTS Case 1At 19 weeks' gestation after spontaneous conception, a Caucasian woman, gravida 4 para 2, was referred because of abnormal four-chamber and great artery views. Fetal echocardiography showed normal situs and heart position. The atrioventricular (AV) connection was double-inlet right ventricle (DIRV) with a right-sided rudimentary left ventricle (LV). There were two separate AV valves. However, the right valve opened obliquely into a left-sided morphological right ventricle (RV). The left AV valve straddled the interventricular septum, leading to flow crossing from the left-sided atrium to a rightsided rudimentary LV although it opened mainly into the left-sided ventricle (Figure 1). The ventriculoarterial (VA) connection was double-outlet RV (DORV) with two good size arteries, with a left-sided anterior aorta. Systemic and pulmonary veins drained into the appropriate atria.The parents were informed of the need for univentricular repair and opted for termination of pregnancy. Postmortem examination confirmed the ultrasound findings: the right AV valve opened to the left-sided ventricle and approximately 40% of the left valve drained to the right-sided ventricle (Figure 2), producing a criss-cross effect when the two AV valves were seen together. Case 2A Mediterranean woman, gravida 2 para 0, was referred at 20 weeks' gestation with abnormal views of the fetal heart. She had taken ovulation drugs (clomiphene) prior to conception and chorionic villus sampling was performed at 11 weeks' gestation because of increased nuchal translucency (5.9 mm). Karyotype was normal. Fetal echocardiography showed normal situs and cardiac position. The AV connection was DIRV with two AV valves. The right-sided valve overrode the ventricular septum, and opened towards a large and dominant morphological RV situated on the left. The left-sided valve opened mainly into this ventricle, but it also opened into a smaller right-sided LV. This resembled a criss-cross relationship of blood flow at the AV level (Figure 3). The VA connection was DORV with a left-sided, anterior aorta. There was significant pulmonary stenosis, with increased velocity across the pulmonary outflow tract and reversal of flow in the arterial duct. Systemic and pulmonary venous return was normal.A male infant was delivered at term and prostaglandin E was commenced. Neonatal echocardiography confirmed the sequential segmental analysis with a superoinferior position of the ventricles. A modified Blalock-Taussig

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Section: Discussionmentioning

confidence: 99%

Criss‐cross heart: report of three cases with double‐inlet ventricles diagnosed in utero

Ngeh

Api

Iasci

et al. 2008

Ultrasound in Obstet & Gyne

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“…Exceptions include patients with complex anomalies of the aortic arch, pulmonary arteries, aorto-pulmonary collaterals, and systemic or pulmonary venous anomalies that are not completely delineated by echocardiography. Several investigators demonstrated the use of CMR for the assessment of the relationship between the great vessels and the VSD as well as the position of the great vessels in relation to the conal septum (72)(73)(74)(75)(76).…”

Section: Pre-operative Mrimentioning

confidence: 99%

Magnetic Resonance Imaging Evaluation of Congenital Heart Disease: Conotruncal Anomalies

Dorfman

Geva

2006

Journal of Cardiovascular Magnetic Resonance

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Conotruncal anomalies comprise a diverse group of congenital heart defects involving the outflow tracts of the heart and the great vessels, including tetralogy of Fallot, transposition of the great arteries, truncus arteriosus, interrupted aortic arch, and other anomalies. Cardiovascular magnetic resonance (CMR) imaging plays an increasingly important role in the evaluation of patients with these lesions. Advances in CMR allow comprehensive assessment of cardiovascular anatomy, ventricular function, flow, and myocardial perfusion and viability. This article reviews the clinical aspects and the application of CMR before and after surgery in key conotruncal anomalies.

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“…This congenital defect was first described by Lev and Rowlatt in 1961, but it was only in 1974 that Anderson et al first used the term crisscross heart. A total of 316 cases of the anomaly have been reported in articles cited in PubMed to date (2016) …”

Section: Discussionmentioning

confidence: 99%

“…Most patients have VSDs, transposition of the great arteries, double‐outlet right ventricle, hypoplastic right ventricle, PS and tricuspid hypoplasia, the latter present in most patients. Other associated defects, although less frequent, are straddling mitral or tricuspid valves, subaortic stenosis, aortic arch obstruction, and mitral stenosis . Anomalies of the coronary circulation may be present and are usually related to the ventricular position, and in these cases, magnetic resonance image (MRI) and angiography are useful tools in the diagnosis and approach .…”

Section: Discussionmentioning

confidence: 99%

Crisscross heart-Morphology, clinical diagnosis, and management options

2016

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Crisscross heart is a rare cardiac malformation characterized by crossing of the inflow streams of the two ventricles due to a twisting of the heart about its long axis. The developmental mechanisms and causes of crisscross heart remain unknown. Neonates present with cyanosis and a systolic murmur. In this study, we report a case of crisscross heart with situs inversus, concordant atrioventricular and ventriculo arterial connection with ventricular septal defect and pulmonary stenosis, and review the literature on this rare cardiac malformation.

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Criss-cross heart evaluated by colour Doppler echocardiography and magnetic resonance imaging

Cited by 13 publications

References 9 publications

Criss‐cross heart: report of three cases with double‐inlet ventricles diagnosed in utero

Criss‐cross heart: report of three cases with double‐inlet ventricles diagnosed in utero

Magnetic Resonance Imaging Evaluation of Congenital Heart Disease: Conotruncal Anomalies

Crisscross heart-Morphology, clinical diagnosis, and management options

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