Prenatal Diagnosis of the Criss-Cross Heart

Ravi, Prasad; Fruitman, Deborah; Mills, Lindsay; Colen, Timothy; Hornberger, Lisa K.

doi:10.1016/j.amjcard.2016.11.046

Cited by 7 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both the great arteries arise from a single ventricle in two of our cases as shown by Ren case report too 8 . Ravi demonstrated associations of coarctation of aorta with criss cross heart, a finding that is also present in one of our cases 9 . Straddling of mitral valve is an important association with CCH as demonstrated by many investigators [1][2][3] .…”

Section: Discussionsupporting

confidence: 82%

Criss cross heart; a challenging diagnosis, case series

Sheikh

Kanwal

Sattar³

2022

J Pak Med Assoc

View full text Add to dashboard Cite

Crisscross heart (CCH) is a rare anomaly characterized by twisting of the inflow streams of right and left ventricles. The etiology of CCH is not known. Its frequency is less than 8/10, 00,000 live births. Cyanosis is common in neonatal age, while shortness of breath is the main presenting complaint in older children. We present a case series of CCH with array of associations, diagnosed by echocardiography. CCH is a rare heart defect that can be diagnosed by echocardiography by a vigilant operator. Early diagnosis is the key to successful management resulting in increased survival rate, better outcomes and improved quality of life. Keywords: Criss-Cross heart, mitral valve lesions, coarctation of aorta, Echocardiography, case series.

show abstract

Section: Discussionsupporting

confidence: 82%

Criss cross heart; a challenging diagnosis, case series

Sheikh

Kanwal

Sattar³

2022

J Pak Med Assoc

View full text Add to dashboard Cite

show abstract

“…In the years 2008-2020 progress in ultrasound technology and experience in fetal echocardiography enabled the diagnosis of CCH or cc-TGA prenatally [6][7][8]. However, the combination of criss-cross heart and corrected TGA was found only in individual cases (Table 2) [9,10].…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of criss-cross heart with congenitally corrected transposition of the great arteries – detection and fetal echocardiography monitoring with one-year postnatal follow-up

Murlewska¹,

Kućmierz²,

Witkowski³

et al. 2022

pcard

View full text Add to dashboard Cite

This paper presents an extremely rare and difficult case report of criss-cross heart (CCH) with a combination of congenitally corrected transposition of the great arteries (cc-TGA) of the fetal heart at 37 weeks of gestation. The impossibility of obtaining a proper 4-chamber view with opening of both the tricuspid and mitral valves in the same image as well as a parallel view of the great vessels confirmed later by neonatal volume-rendered computed tomography (CT) angiography were clues showing atrio-ventricular and ventriculo-arterial discordance. In addition to the heart defect, fetal echocardiography confirmed fetal well-being during subsequent exams and made it possible to plan vaginal delivery in a tertiary centre. Early cardiac surgery due to coexisting coarctation of the aorta (CoA) was performed on the 8th day and involved reconstruction of aortic arch and pulmonary artery banding. There were no clinical problems during the first year of postnatal life, despite abnormal intracardiac anatomy.

show abstract

“…This study group emphasizes that the key to prenatal diagnosis of CCH is the inability to image flow across the two AV valves in standard transverse sections of the fetal chest [11]. Ravi et al nicely summarized five cases with complete antenatal-postnatal follow-up, stating that a full understanding of the anatomy and pathophysiology would be mandatory and yet possible to diagnose CCH and therefore predict the postnatal pathophysiology of this complex lesion [12].…”

Section: Discussionmentioning

confidence: 99%

“…Li [11]. Ravi et al nicely summarized five cases with complete antenatal-postnatal follow-up, stating that a full understanding of the anatomy and pathophysiology would be mandatory and yet possible to diagnose CCH and therefore predict the postnatal pathophysiology of this complex lesion [12].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Diagnosis and Postnatal Outcome of Eight Cases with Criss-Cross Heart – A Multicenter Case Series

Vorisek

Kurkevych²,

Kuhn

et al. 2020

Ultraschall Med

View full text Add to dashboard Cite

Objective Criss-cross heart (CCH) is a rare congenital cardiac defect defined by crossing of ventricular inflow streams contributing to less than 0.1 % of all congenital heart anomalies. Due to its rarity and complexity, prenatal diagnosis in these patients remains challenging. We sought to describe prenatal findings and postnatal course in eight cases of prenatally diagnosed CCH. Methods This is a retrospective case series of prenatally diagnosed CCH in three centers between 2010–2017. We reviewed fetal echocardiograms as well as postnatal clinical charts and surgical reports. Results 8 cases of CCH were included. The median gestational age at diagnosis was 27 weeks. 7 patients were found with situs solitus, one fetus with situs ambiguous. In all patients, the four-chamber view was abnormal. There was atrioventricular discordance in half of the patients, while all patients showed ventriculoarterial discordance. All patients were found with additional cardiac anomalies, including ventricular septal defect, double outlet right ventricle, right aortic arch, atrial septal defect and pulmonary stenosis. Three patients underwent amniocentesis without pathological findings. All patients were born alive at a median gestational age of 38 + 2 weeks and survived our median follow-up of 181 days. Conclusion CCH can be diagnosed prenatally by detailed fetal echocardiography when observing an abnormal four-chamber view with crossing of inflow streams into both ventricles and a lack of parallel orientation of the atrioventricular valve axis due to a clockwise or counterclockwise rotation of the ventricular mass along its axis. With the help of prenatal ultrasound, parental guidance and counselling as well as postnatal pediatric cardiac management can be warranted.

show abstract

Prenatal Diagnosis of the Criss-Cross Heart

Cited by 7 publications

References 16 publications

Criss cross heart; a challenging diagnosis, case series

Criss cross heart; a challenging diagnosis, case series

Prenatal diagnosis of criss-cross heart with congenitally corrected transposition of the great arteries – detection and fetal echocardiography monitoring with one-year postnatal follow-up

Prenatal Diagnosis and Postnatal Outcome of Eight Cases with Criss-Cross Heart – A Multicenter Case Series

Contact Info

Product

Resources

About