Criss-cross heart: Transthoracic echocardiographic features

The Criss-Cross Heart

During infancy, the patient was diagnosed with a large VSD and underwent PA banding through a left thoracotomy at the age of 5 months. At the time of PA banding for this patient, two-dimensional echocardiography and MRI were not yet available, and the complex anatomy could not be detected as easily as it can be today. When he was 4 years old, he underwent a sternotomy to close the VSD. However,...

[Criss cross heart].

Criss - cross heart Author : Doctor

Anatomy of a criss-cross heart.

To the Editor: We read with interest the article by Araoz et al1 and its description and beautiful three-dimensional (3D) images of a rare criss-cross heart. The 3D gadolinium-enhanced magnetic resonance angiography (MRA) images clearly demonstrate the complex anatomy, in particular the relationship between the crossed atrioventricular pathways. Based on the images presented, however, the assig...

Criss-cross heart with d-ventricular loop.

To the Editor: In a recent issue of Circulation, we saw the interesting images concerning magnetic resonance angiography in a patient with criss-cross heart.1 In the description of the case, the authors correctly report the atrial situs (solitus), the position of the ventricle (inverted), and the connection of the great arteries (discordant with L-position of the aorta). This is the most freque...