Key result
A 2.5-month-old female infant was diagnosed with a rare criss-cross heart, double outlet right ventricle, and pulmonary atresia, requiring initial medical management and planned surgical palliation.
Why the study?
Criss-cross heart is a rare congenital heart disease whose diagnosis is often missed due to complex structural changes and rarity.
Case Report (n=1)
No
This case report emphasizes the importance of echocardiography in diagnosing the rare and complex criss-cross heart anomaly to guide appropriate surgical palliation.
A criss-cross heart is a rare congenital heart disease that is commonly associated with complex cardiac defect. Criss-cross heart is characterized by crossing of the inflow streams of the two ventricles, due to twisting of the heart during development. As a result the axis of the openings of the atrioventricular (AV) valves remain non parallel. We report a case of 2.5 months old baby with criss-cross spatial relationship of the atrioventricular valve with double outlet right ventricle with Pulmonary Artesia and atrial and ventricular septal defect. The diagnosis was confirmed by 2D and color Doppler Echocardiography in subxiphoid long-axis and coronal plane sweeps. Due to the complex structural changes and rarity of the anomaly, the diagnosis is often missed. In this case report we emphasized on diagnosis feature of presentation and surgical techniques required to correct or palliate the defects. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 214-216
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Begum et al. (2020) conducted a case report in Criss-cross heart (n=1). Medical management and planned surgical palliation was evaluated. A 2.5-month-old female infant was diagnosed with a rare criss-cross heart, double outlet right ventricle, and pulmonary atresia, requiring initial medical management and planned surgical palliation.
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