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

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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.

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References

  1. Anderson RH (1982) A question of definition. Criss-cross hearts revisited. Pediatr Cardiol 3:305–313

    Article  PubMed  CAS  Google Scholar 

  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 50:176–180

    CAS  Google Scholar 

  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 10:1274–1277

    PubMed  CAS  Google Scholar 

  4. Anderson RH, Yen Ho S (1989) Segmental interconnections versus topological congruency in complex congenital malformations. Int J Cardiol 25:229–233

    Article  Google Scholar 

  5. Anderson RH, Yen Ho S (1997) Sequential segmental analysis — description and categorization for the millenium. Cardiol Young 7:98–116

    Google Scholar 

  6. Freedom RM, Culham G, Rowe RD (1978) The criss-cross and superoinferior ventricular heart: an angiocardiographic study. Am J Cardiol 42:620–628

    Article  PubMed  CAS  Google Scholar 

  7. Han H-S, Seo J-Y, Choi JY (1994) Echocardiographic evaluation of hearts with twisted atrioventricular connections (criss-cross heart). Heart Vessels 9:322–326

    Article  PubMed  CAS  Google Scholar 

  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 1:211–217

    Article  Google Scholar 

  9. Van Praagh R (1985) The importance of segmental situs in the diagnosis of congenital heart disease. Semin Roentgenol 30:254–271

    Google Scholar 

  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 10:1278–1279

    Article  PubMed  Google Scholar 

  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

  12. Yoo S-Y, Seo J-Y, Lim T-W, et al (1993) Hearts with twisted atrioventricular connections: findings at MR imaging. Radiology 188:109–113

    PubMed  CAS  Google Scholar 

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Acknowledgments

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

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Correspondence to Walter J. Duncan.

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Duncan, W., Wong, K. & Freedom, R. A Criss-Cross Heart with Twisted Atrioventricular Connections, “Perfect Streaming,” and Double Discordance. Pediatr Cardiol 27, 604–607 (2006). https://doi.org/10.1007/s00246-006-1153-2

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  • DOI: https://doi.org/10.1007/s00246-006-1153-2

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