Journal of Echocardiography

, Volume 15, Issue 4, pp 191–193 | Cite as

Prenatal three-dimensional color Doppler imaging showing crossover of the inflow streams of two ventricles in a case of criss-cross heart

  • Aya Shirakawa
  • Takashi KajiEmail author
  • Yasunobu Hayabuchi
  • Soichiro Nakayama
  • Kazuhisa Maeda
  • Minoru Irahara
Case image in cardiovascular ultrasound
A 23-year-old woman was referred to us at 33 weeks of gestation because of an abnormal fetal four-chamber view. Fetal echocardiography showed that the right atrium, tricuspid valve, right ventricle (RV), pulmonary valve and pulmonary artery were on the same axial plane of the chest (Fig.  1a, Video 1a). The left atrium (LA) seemed normal, but the left ventricle (LV) was not depicted. The ventriculoarterial connection was suspected to be a double outlet right ventricle (DORV) with coarctation of the aorta (CoA). At 34 weeks, a small LV was depicted more inferiorly to the RV on the sagittal plane of the chest (Fig.  1b, Video 1b). A detailed observation of the LV revealed that the LA was connected to the inferior small LV on the right side through a restricted mitral valve (Fig.  1c, Video 1c). A ventricular septal defect (VSD) was also detected. Three-dimensional (3D) color Doppler tomographic ultrasound imaging (TUI) (Voluson E8; GE Healthcare Japan, Tokyo, Japan) revealed that the...


Left Ventricle Right Ventricle Ventricular Septal Defect Ventricular Septal Defect Double Outlet Right Ventricle 
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Compliance with ethical standards

Conflict of interest

All authors declare no conflict of interest.

Human rights statements

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent was obtained from all patients for being included in the study.

Supplementary material

Supplementary material 1 (WMV 598 kb)

Supplementary material 2 (WMV 598 kb)

Supplementary material 3 (WMV 645 kb)

Supplementary material 4 (MP4 1208 kb)

Supplementary material 5 (MP4 727 kb)


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Copyright information

© Japanese Society of Echocardiography 2017

Authors and Affiliations

  • Aya Shirakawa
    • 1
  • Takashi Kaji
    • 1
    Email author
  • Yasunobu Hayabuchi
    • 2
  • Soichiro Nakayama
    • 1
  • Kazuhisa Maeda
    • 1
    • 3
  • Minoru Irahara
    • 1
  1. 1.Department of Obstetrics and Gynecology, Institute of Biomedical SciencesTokushima University Graduate SchoolTokushimaJapan
  2. 2.Department of Pediatrics, Institute of Biomedical SciencesTokushima University Graduate SchoolTokushimaJapan
  3. 3.Department of Obstetrics and GynecologyShikoku Medical Center for Children and AdultsKagawaJapan

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