Key result
Perioperative TEE successfully guides complex AV valve replacement and Fontan completion in crisscross heart.
Case Report (n=1)
No
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This case report describes the use of transesophageal echocardiography for the perioperative evaluation of a rare crisscross heart prior to Fontan completion.
Crisscross heart (CCH) is a rare congenital cardiac malformation characterized by crossing of systemic and pulmonary venous blood streams at atrioventricular (A-V) level due to an apparent twisting of the heart about its long axis. In the literature, perioperative evaluation of CCH by transesophageal echocardiography (TEE) has not been described. Here we report a rare case of CCH, post Glenn procedure with A-V valve regurgitation, evaluated by TEE for valve repair/replacement followed by completion of Fontan surgery. How to cite this article Makhija N, Bhardwaj V, Saxena A, Talwar S. Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure. J Perioper Echocardiogr 2016;4(1):27-29.
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Saxena et al. (2016) conducted a case report in Crisscross heart with atrioventricular valve regurgitation post-Glenn procedure (n=1). Perioperative transesophageal echocardiography (TEE) and right atrioventricular valve replacement with Fontan completion was evaluated on Successful surgical evaluation and Fontan completion with right A-V valve replacement. Perioperative transesophageal echocardiography successfully guided right atrioventricular valve replacement (5.2 cm vs 2.4 cm left valve) and Fontan completion in a 15-year-old male with crisscross heart.
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