Magnetic Resonance Angiography of Criss-Cross Heart

Criss-cross heart: twisted anatomy by cardiovascular magnetic resonance.

A 27-year-old male with known congenitally corrected transposition of the great arteries was referred for further workup due to increasing arrhythmias. Cardiovascular magnetic resonance (CMR) showed situs solitus and atrioventricular (AV) and ventriculoarterial (VA) discordance, with the aorta lying anteriorly and to the right of the pulmonary trunk (Figure 1). An unusual alignment was found, w...

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...