The criss-cross and superoinferior ventricular heart: An angiocardiographic study

Freedom, Robert M.; Culham, Gordon; Rowe, Richard D.

doi:10.1016/0002-9149(78)90632-x

Cited by 62 publications

(28 citation statements)

References 28 publications

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“…Anderson interpreted the criss-cross heart in 1982 [2], in agreement with others [14,22,23,28,31], as representing postseptational rotation of the ventric- Hearts of group B have been described with associated dextroversion, and have been described for situs inversus.…”

Section: Discussionsupporting

confidence: 76%

“…Do all three planes have to show the cross over (like Anderson's heart [3] or only the frontal plane (like in most hearts with horizontal septum)? Is it appropriate to label the criss-cross phenomenon an illusion [14,38]? True criss-crossing of AV connections, either concordant or discordant, implies for us a 180 ° rotation such that the right atrium connects to a posterior right ventricle, the left atrium to an anterior left ventricle or, in the presence of ventricular discordance, a connection from the right atrium to a posterior left ventricle and from the left atrium to an anterior right ventricle.…”

Section: Discussionmentioning

confidence: 99%

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Horizontal ventricular septum with dextroversion: Hearts with and without aortic atresia

et al. 1987

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Two hearts with horizontal ventricular septum, dextroversion (situs solitus), ventricular septal defects, and malaligned great vessels are reported. One of the hearts had aortic atresia and the infant died; the other patient had a Fontan-type physiologic correction. Reviewing the literature, the following conclusions are drawn: (a) Hearts with horizontal ventricular septum and those with criss-cross atrioventricular connections may be the result of different degrees of rotation of the ventricular muscle mass. This rotation is not likely to be postseptational but preseptational. (b) Only those hearts with a complete 180 degrees rotation should be called criss-cross hearts. (c) Partial rotation results in a horizontal septum such that the right ventricle is invariably superior, regardless of atrioventricular concordance or discordance, situs solitus or inversus, or dextroversion. (d) Physiologic surgical correction is often possible but has to be tailored to the details of each heart.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Horizontal ventricular septum with dextroversion: Hearts with and without aortic atresia

et al. 1987

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“…Such an anomaly results from abnormal rotation of the ventricular components about their long axis due to unclear causes. With such an abnormality, the flow from the systemic and pulmonary venous systems intersects at the ventricular inlet level without mixing of blood(1).The criss-cross heart is typically associated with a multitude of congenital cardiac defects, such asVSD, transposition of the great arteries, right ventricular hypoplasia, pulmonary stenosis and several others (1,(4)(5)(6).…”

Section: Discussionmentioning

confidence: 99%

Cardiac CT of a Criss-Cross Heart: A Case Report

2016

IJSR

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A criss-cross heart is an extremely rare congenital anomaly that is commonly associated with complex cardiac defects. The literature on imaging of such a condition is limited. In particular, cardiac CT imaging of criss-cross heart is sparse. We present a case of a full-term infant with criss-cross heart, in which cardiac CT delineated the complex heart anatomy and confirmed known echocardiographic findings. Utilizing cardiac CT in criss-cross heart increases the treating physician's confidence before embarkin g on a final surgical approach.

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“…Twisting of the atrioventricular connections is unusual and there has been much debate on the nomenclature and the concepts of the connections and spatial relations [2][3][4]. Recently, Seo et al [6] emphasized that a characteristic morphologic feature of this condition was the superior and anterior location of the tricuspid valve in the setting of malalignment between the atrial and ventricular septal structures.…”

Section: Discussionmentioning

confidence: 99%

“…Since Anderson et al described this condition [1], clinical and pathologic studies have demonstrated its morphological importance to the understanding of ventricular looping and topology [2][3][4]. Further morphological analysis has shown that the malalignment of the atrial and ventricular septal structure and anterior displacement of the tricuspid valve are key features for understanding the spatial relation of the atrial and ventricular chambers [5,6].…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic evaluation of hearts with twisted atrioventricular connections (criss-cross heart)

1994

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An echocardiographic study was performed on seven patients with twisted atrioventricular connections (criss-cross heart) relative to the usual atrial arrangement. The atrioventricular connections were concordant in five patients and discordant in two. The ventriculoarterial junction was either double-outlet right ventricle (n = 6) or discordant connections (n = 1). Associated cardiac defects were ventricular septal defect (n = 7), pulmonary stenosis (n = 5), straddling tricuspid valve (n = 2), and straddling mitral valve (n = 1). Malalignment between the atrial and ventricular septum was the most important feature of this disease and resulted in altered spatial orientation of the trabecular ventricular septum, and recesses in the ventricles and the right atrium. When assessed by echocardiography, these anatomical features were not invariably recognized in every case, but they were dependent upon the type of atrioventricular connections and the presence of straddling of the atrioventricular valves. Left ventricular recess was the most consistent feature and was present in every patient, regardless of the atrioventricular connections. Right atrial recess was found in four of five patients with concordant atrioventricular connections but was not present in patients with discordant atrioventricular connections. Right ventricular recess was recognized as such in a single patient with concordant atrioventricular connection and straddling mitral valve. The trabecular septum was oriented in a horizontal plane in hearts with concordant atrioventricular connections and without atrioventricular valve straddling. The trabecular septum was oriented semivertically in all other hearts.(ABSTRACT TRUNCATED AT 250 WORDS)

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The criss-cross and superoinferior ventricular heart: An angiocardiographic study

Cited by 62 publications

References 28 publications

Horizontal ventricular septum with dextroversion: Hearts with and without aortic atresia

Horizontal ventricular septum with dextroversion: Hearts with and without aortic atresia

Cardiac CT of a Criss-Cross Heart: A Case Report

Echocardiographic evaluation of hearts with twisted atrioventricular connections (criss-cross heart)

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