Prenatal diagnosis of criss-cross heart: sonographical and pathological features of five cases

Journal of Perinatology : Official Journal of the California Perinatal Association
S LiJ Zhu

Abstract

To describe the sonographical and pathological features of fetal criss-cross heart (CCH). All cases of fetal CCH diagnosed by fetal echocardiogram from May 2003-May 2011 were identified at a single referral center using an established perinatal database. Demographic and genetic information, sonographical images and autopsy reports were reviewed. Sonographical and pathological features are described. Five cases of fetal CCH were identified, all of which were confirmed by autopsy. Characteristic sonographical findings include: (1) the inability to obtain four-chamber view at standard transverse plane through the fetal chest; (2) appreciation of the misaligned spatial atrial-ventricle connection with the interventricular septum in a 'spiraling' orientation; (3) orientation of the two ventricular inlets in a superior-inferior and crossing position; and (4) a four-chamber-like view seen in the sagittal plane of the fetal chest. Doppler ultrasound demonstrates the 'criss-cross' arrangement of the inflow tracts into the two ventricles simultaneously in the transverse plane of the fetal chest. CCH is a rare developmental disorder that can be accurately diagnosed prenatally. Early diagnosis will allow for more targeted counseling and ea...Continue Reading

References

Apr 3, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N NgehJ S Carvalho
Dec 6, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Piotr HoffmanAnna Klisiewicz
Sep 19, 2009·International Journal of Cardiology·Ya-Li YangRobert H Anderson

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Citations

Feb 10, 2018·Mitochondrial DNA. Part A. DNA Mapping, Sequencing, and Analysis·Murali PalrajuJanarthanan Sundaram
Sep 27, 2018·Pediatric Cardiology·Kiyomi TsukimoriNobuhiko Kan
Jul 29, 2021·JACC. Case Reports·Parag BhalgatPooja Bhalgat

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