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Pediatric Cardiology

, Volume 27, Issue 5, pp 604–607 | Cite as

A Criss-Cross Heart with Twisted Atrioventricular Connections, “Perfect Streaming,” and Double Discordance

  • Walter J. DuncanEmail author
  • Kenny K. Wong
  • Robert M. Freedom
CASE REPORTS

Abstract

At 24 weeks gestational age, a term female infant was diagnosed with complex congenital heart disease. The antenatal cardiac diagnosis was uncertain and included univentricular heart. Following delivery, the child remained well and was normally saturated. Echocardiography and angiocardiography revealed an unusual relationship between atria and ventricles.

Keywords

Criss-cross heart Atrioventricular and ventriculoarterial discordance 

Notes

Acknowledgments

We thank Dr. James Potts for his assistance with the manuscript.

References

  1. 1.
    Anderson RH (1982) A question of definition. Criss-cross hearts revisited. Pediatr Cardiol 3:305–313PubMedCrossRefGoogle Scholar
  2. 2.
    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. Criculation 50:176–180Google Scholar
  3. 3.
    Anderson RH, Smith A, Wilkinson JL (1987) Disharmony between atrioventricular connections and segmental combinations: unusual variants of “criss-cross” hearts. J Am Coll Cardiol 10:1274–1277PubMedGoogle Scholar
  4. 4.
    Anderson RH, Yen Ho S (1989) Segmental interconnections versus topological congruency in complex congenital malformations. Int J Cardiol 25:229–233CrossRefGoogle Scholar
  5. 5.
    Anderson RH, Yen Ho S (1997) Sequential segmental analysis — description and categorization for the millenium. Cardiol Young 7:98–116Google Scholar
  6. 6.
    Freedom RM, Culham G, Rowe RD (1978) The criss-cross and superoinferior ventricular heart: an angiocardiographic study. Am J Cardiol 42:620–628PubMedCrossRefGoogle Scholar
  7. 7.
    Han H-S, Seo J-Y, Choi JY (1994) Echocardiographic evaluation of hearts with twisted atrioventricular connections (criss-cross heart). Heart Vessels 9:322–326PubMedCrossRefGoogle Scholar
  8. 8.
    Seo JW, Yoo SJ, Ho SY, Heung JL, Anderson RH (1992) Further morphological observations on hearts with twisted atrioventricular connections (criss-cross hearts). Cardiovasc Pathol 1:211–217CrossRefGoogle Scholar
  9. 9.
    Van Praagh R (1985) The importance of segmental situs in the diagnosis of congenital heart disease. Semin Roentgenol 30:254–271Google Scholar
  10. 10.
    Van Praagh R (1987) When concordant or discordant atrioventricular alignments predict the ventricular situs wrongly. I. Solitus atria, concordant alignments, and 1-loop ventricles. II. Solitus atria, discordant alignments, and d-loop ventricles. J Am Coll Cardiol 10:1278–1279PubMedCrossRefGoogle Scholar
  11. 11.
    Weinberg PM, Van Praagh R, Wagner HR, Cuaso CC (1980) New form of criss-cross atrio ventricular relation: an expanded view of the meaning of D- and L-loops [abstract]. Proceedings from the World Congress of Pediatric Cardiology Google Scholar
  12. 12.
    Yoo S-Y, Seo J-Y, Lim T-W, et al (1993) Hearts with twisted atrioventricular connections: findings at MR imaging. Radiology 188:109–113PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Walter J. Duncan
    • 1
    Email author
  • Kenny K. Wong
    • 1
  • Robert M. Freedom
    • 2
  1. 1.Department of Pediatrics, Division of CardiologyUniversity of British Columbia, British Columbia Children’s HospitalVancouverCanada
  2. 2.Department of Pediatrics, Division of CardiologyUniversity of Toranto, The Hospital for Sick ChildrenTorontoCanada

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