Criss-cross heart: Report of three cases with double-inlet ventricles diagnosed in utero

N. Ngeh; O. Api; A. Iasci; S. Y. Ho; J. S. Carvalho

doi:10.1002/uog.5300

Criss-cross heart: Report of three cases with double-inlet ventricles diagnosed in utero

N. Ngeh, O. Api, A. Iasci, S. Y. Ho, J. S. Carvalho

IRCCS Fondazione Policlinico San Matteo

Research output: Contribution to journal › Article › peer-review

Abstract

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 are not parallel. If unrecognized, this leads to incorrect sequential segmental analysis. We report three cases of double-inlet ventricle with a criss-cross spatial relationship of the AV valves detected on prenatal ultrasound examination at 19-23 weeks' gestation. The sequential diagnosis was confirmed at postmortem examination in two cases and by neonatal echocardiography in the other. Antenatal diagnosis of criss-cross effect of the AV valves is feasible, allowing correct fetal diagnosis and appropriate counseling for this rare form of congenital cardiac disease.

Original language	English
Pages (from-to)	461-465
Number of pages	5
Journal	Ultrasound in Obstetrics and Gynecology
Volume	31
Issue number	4
DOIs	https://doi.org/10.1002/uog.5300
Publication status	Published - Apr 2008

Keywords

Congenital
Criss-cross heart
Echocardiography
Fetus
Heart defects
Prenatal diagnosis

ASJC Scopus subject areas

Obstetrics and Gynaecology
Radiology Nuclear Medicine and imaging
Radiological and Ultrasound Technology
Reproductive Medicine
Acoustics and Ultrasonics
Medicine(all)

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abstract = "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 are not parallel. If unrecognized, this leads to incorrect sequential segmental analysis. We report three cases of double-inlet ventricle with a criss-cross spatial relationship of the AV valves detected on prenatal ultrasound examination at 19-23 weeks' gestation. The sequential diagnosis was confirmed at postmortem examination in two cases and by neonatal echocardiography in the other. Antenatal diagnosis of criss-cross effect of the AV valves is feasible, allowing correct fetal diagnosis and appropriate counseling for this rare form of congenital cardiac disease.",

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