ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
A criss-cross heart
Vehbi Doğan1, Senem Özgür1, İlker Ertuğrul1, Tamer Yoldaş1, Murat Koç2, Utku A Örün1, Selmin Karademir1
1Departments of Pediatric Cardiology, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
2Departments of Cardiovascular Surgery, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.11138
A criss-cross heart is an extremely rare congenital cardiac anomaly characterized by crossing of the inflow streams of the two ventricles and almost always associated with other severe cardiac diseases. In this article, a total of seven patients with criss-cross morphology were identified from the hospital records and clinical characteristics of these patients and associated congenital cardiac diseases were discussed in the light of the literature data. Age on admission ranged from one month to 13 years. Of the seven patients, three presented with cyanosis, three with murmur, and one with respiratory distress and heart failure. The visceroatrial situs was solitus in all patients including levocardia in five and dextrocardia in two. The atrioventricular connection was concordant in four patients and discordant in one patient, while double-inlet ventricle was present in two patients. The ventriculoarterial connection was concordant in four patients and discordant in one patient, while doubleoutlet ventricle was present in one patient and single outlet (pulmonary atresia) in another patient. Two patients underwent corrective biventricular repair, while one patient underwent bidirectional cavopulmonary shunting. Crisscross heart is an extremely rare and complex anomaly which should be kept in mind to recognize with echocardiography.
Keywords : Abnormal twisting; criss-cross heart; straddling atrioventricular valve; superior-inferior ventricles
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