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Criss‐cross heart: report of three cases with double‐inlet ventricles diagnosed in utero
Author(s) -
Ngeh N.,
Api O.,
Iasci A.,
Ho S. Y.,
Carvalho J. S.
Publication year - 2008
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.5300
Subject(s) - medicine , ventricle , in utero , heart disease , prenatal diagnosis , atrioventricular valve , cardiology , fetus , pregnancy , biology , genetics
Criss‐cross heart is a rare congenital cardiac anomaly characterized by crossing of the inflow streams of the two ventricles, due to an apparent twisting of the heart about its long axis and when the axes of the openings of the atrioventricular (AV) valves are not parallel. If unrecognized, this leads to incorrect sequential segmental analysis. We report three cases of double‐inlet ventricle with a criss‐cross spatial relationship of the AV valves detected on prenatal ultrasound examination at 19–23 weeks' gestation. The sequential diagnosis was confirmed at postmortem examination in two cases and by neonatal echocardiography in the other. Antenatal diagnosis of criss‐cross effect of the AV valves is feasible, allowing correct fetal diagnosis and appropriate counseling for this rare form of congenital cardiac disease. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.