Summary
Two-dimensional echocardiography was performed on a patient with criss-cross atrioventricular (AV) relationship and ventriculo-arterial discordance. A systematic approach from the subcostal area revealed the complex cardiac pathology including the criss-cross AV relationship of right and left heart, indicating that this very abnormal relationship can be identified echocardiographically. The echocardiographic findings were confirmed by angiocardiography.
Post-mortem investigation showed that much of the complexity, including the criss-cross AV relationship, had been caused by a secondary leftward torsion of the entire ventricular part of the heart.
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van Mill, G., Moulaert, A., Harinck, E. et al. Subcostal two-dimensional echocardiographic recognition of a criss-cross heart with discordant ventriculo-arterial connection. Pediatr Cardiol 3, 319–323 (1982). https://doi.org/10.1007/BF02427034
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DOI: https://doi.org/10.1007/BF02427034