Key result
Multimodality cardiac imaging facilitated successful biventricular repair in 1 pediatric patient with complex criss-cross heart.
Why the study?
Criss-cross heart is an exceptionally rare and complex congenital heart disease where diagnosis is difficult and interpretation of imaging results can be challenging.
Case Report (n=1)
Multimodality cardiac imaging, including 3D printing and 4D flow-CMR, can successfully guide complex biventricular repair in rare congenital criss-cross heart cases.
Case highlights CCH imaging challenges; leaves open optimal individualized management strategies.
Background: Criss-cross heart (CCH) is considered as one of the most complex, challenging, and exceptionally rare congenital heart diseases (CHDs). Criss-cross heart is defined by the twisted atrioventricular connection and the crossing of inflow streams to both ventricles, caused by the rotation of the ventricular mass along its longitudinal axis. The treatment depends on the anatomical complexity. Diagnosis of CCH is difficult, and interpretation of imaging results may be challenging. Case summary: A one-year-old girl presented with cyanosis and abnormal heart sounds. We report a patient with complex congenital CCH who underwent successful biventricular repair using multimodality cardiac imaging, including echocardiography, cardiac computerized tomography, 3D printing, and 4D flow-CMR (cardiac magnetic resonance). Discussion: Criss-cross heart is one of the most complex and rare CHD. Multimodality cardiac imaging is essential for finding the answers and providing better care for complex CHD patients.
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Saengsin et al. (2025) conducted a case report in Criss-cross heart (CCH) (n=1). Multimodality cardiac imaging (echocardiography, cardiac CT, 3D printing, and 4D flow-CMR) was evaluated on Successful biventricular repair. Multimodality cardiac imaging facilitated successful biventricular repair in 1 pediatric patient with complex criss-cross heart.
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