Key result
Multidisciplinary management of a primigravida with a crisscross heart resulted in a successful 39-week vaginal delivery without maternal or neonatal complications.
Case Report (n=1)
A successful term pregnancy and vaginal delivery can be achieved in a patient with a crisscross heart using a multidisciplinary approach.
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May support safe vaginal delivery in crisscross heart with multidisciplinary care; hypothesis-generating and should not yet change practice.
Background. Crisscross heart (CCH) is a complex, rare, congenital, rotational, cardiac abnormality that accounts for <0.1% of congenital heart defects (CHD). CCH is characterized by the crossing of the inflow streams of the two ventricles due to an abnormal twisting of the heart. A case of maternal CCH has not been previously reported. Case. We report a case of a primigravida with a CCH, who was separated at birth from her thoracopagus conjoined twin. Pregnancy was managed by congenital cardiology, maternal-fetal medicine, anesthesiology, and obstetrics. She underwent a 39-week vaginal delivery without maternal or neonatal complication. Conclusion. A successful term pregnancy outcome was achieved in a patient with CCH using a multidisciplinary approach to address her cardiac condition.
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Rimawi et al. (2015) conducted a case report in Crisscross heart (n=1). Multidisciplinary pregnancy management was evaluated on Maternal or neonatal complication. Multidisciplinary management of a primigravida with a crisscross heart resulted in a successful 39-week vaginal delivery without maternal or neonatal complications.
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