Abstract
Two-dimensional colour Doppler echocardiography was performed on a 1-month-old male infant with criss-cross heart, double outlet right ventricle, ventricular septum defect and pulmonary stenosis. Complex structural abnormalities were suspected after two-dimensional echocardiography (2-D echo) and confirmed by colour Doppler and magnetic resonance imaging (MRI). We stress that the blood streams in the ventricular inflow tracts revealed by colour Doppler and the spatial relationships of the cardiac segments disclosed by MRI are essential to make an accurate non-invasive diagnosis of this complex malformation.
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Abbreviations
- 2-D echo:
-
two-dimensional echocardiography
- MRI:
-
Magnetic resonance imaging
References
Anderson RH (1982) Criss-cross hearts revisited. Pediatr Cardiol 3:305–313
Anderson RH, Shinebourne EA, Gerlis LM (1974) Criss-cross atrioventricular relationships producing paradoxical atrioventricular concordance or discordance: their significance to nomenclature of congenital heart disease. Circulation 50:176–181
Carminati M, Valsecchi O, Borghi A, Balduzzi A, Bande A, Crupi G, Ferrazzi P, Invernizzi G (1987) Cross-sectional echocardiographic study of criss-cross hearts and superoinferior ventricles. Am J Cardiol 59:114–118
Didier D, Higgins CB, Fisher MR, Osaki L, Silverman NH, Cheitlin MD (1986) Congenital heart disease; gated MR imaging in 72 patients. Radiology 158:227–235
Robinson PJ, Kumpeng V, Macartney FJ (1985) Cross sectional echocardiographic and angiocardiographic correlation in criss-cross hearts. Br Heart J 54:61–67
Sherman FS, Sahn DJ (1987) Pediatric Doppler echocardiography: major advances in technology. J Pediatr 110:333–342
Shiraishi H, Yanagisawa M, Kuramatsu T, Shimoizumi T, Tanaka O (1988) Cardiac tumour in a neonate with tuberous sclerosis: echocardiography demonstration and magnetic resonance imaging. Eur J Pediatr 148:50–52
Snider AR, Enderlein MA, Teitel DF, Hirji M, Heymann MA (1984) Isolated ventricular inversion: two-dimensional echocardiographic findings and a review of a literature. Pediatr Cardiol 5:27–33
Van Mill G, Moulaert A, Harinck E, Weninck A, Oppenheimer-Dekker A (1982) Subcostal two-dimensional echocardiographic recognition of a criss-cross heart with discordant ventriculo-arterial connection. Pediatr Cardiol 3:319–323
Van Praagh R, Weinberg PM, Van Praagh S (1983) Malposition of the heart. In: Adams MH, Emmanouilides GC (eds) Heart disease in infants, children and adolescents, 3rd edn. Williams and Wilkins, Baltimore, pp 394–417
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Igarashi, H., Kuramatsu, T., Shiraishi, H. et al. Criss-cross heart evaluated by colour Doppler echocardiography and magnetic resonance imaging. Eur J Pediatr 149, 523–525 (1990). https://doi.org/10.1007/BF01957683
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DOI: https://doi.org/10.1007/BF01957683