Angiocardiographic Findings and Morphogenesis of Criss-Cross Heart with Situs Solitus, Concordant Atrioventricular Relationships and L-Transposition

Sato, Tetsijo; Kano, Ichiki; Fukuda, Morikuni; Yoshida, Yoshiro; Sasaki, Takashi; Hoshino, Hisao

doi:10.1620/tjem.119.377

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…Although these hearts with "rotational anomalies" are very complex, "corrective" surgical procedures can be considered, as shown in our case 2 and the literature [11,12,15,21,25,29,40]. For a correct angiographic diagnosis, the horizontal seprum is a very characteristic clue.…”

Section: Discussionmentioning

confidence: 58%

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: Discussionmentioning

confidence: 58%

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

et al. 1987

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“…Associated anomalies included right ventricular hypoplasia, subaortic or subpulmonary stenosis, and pulmonary atresia. 5 Various AV connection problems have been also reported previously. Robinson et al 3 reported a case of straddling tricuspid valve in a patient with crisscross heart and concordant AV connection.…”

Section: Discussionmentioning

confidence: 81%

“…It presents as paradoxical AV relation according to the location of the ventricles. 5 It is an abnormality of relation rather than E153 connection, but is often associated with abnormalities of connection and other complex intracardiac anomalies. 3 The crisscross arrangement is considered to be caused by abnormal clockwise or counterclockwise rotation of the ventricular loop along its long axis, while the base of the heart and the atria remain relatively fixed.…”

Section: Discussionmentioning

confidence: 99%

“…morphologically described crisscross heart in 1974. It presents as paradoxical AV relation according to the location of the ventricles . It is an abnormality of relation rather than connection, but is often associated with abnormalities of connection and other complex intracardiac anomalies .…”

Section: Discussionmentioning

confidence: 99%

“…In our patient, we initially demonstrated the connection of left atrium and the right‐sided left ventricle. Because tricuspid valves are almost always expected to be anterior to mitral valves, we tried to demonstrate the right ventricular connection by tilting the transducer anteriorly and superiorly. Although the inlet part of the left‐sided right ventricle was seen, there was no connection to any of the atria.…”

Section: Discussionmentioning

confidence: 99%

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