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Prenatal Diagnosis of Criss-Cross Heart Using 4-Dimensional Color Doppler Rendering

  • Images in Pediatric Cardiology
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Abstract

Criss-cross heart is a rare congenital cardiac anomaly characterized by the crossing of two ventricular inflow streams. We have demonstrated the utility of 4-dimensional color Doppler rendering in diagnosing the criss-cross heart in a fetus. Four-dimensional color Doppler rendering can demonstrate the relative direction of intracardiac blood flows and facilitate recognition of the crossover of inflow streams in the same plane, confirming the criss-cross heart diagnosis in the fetus.

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Funding

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Authors and Affiliations

  1. Department of Obstetrics, Perinatal Center, Fukuoka Children’s Hospital, 5-1-1 Kashiiteriha, Higashi-ku, Fukuoka, 813-0017, Japan

    Kiyomi Tsukimori & Yuzo Kitadai

  2. Department of Neonatal Cardiology, Perinatal Center, Fukuoka Children’s Hospital, Fukuoka, Japan

    Nobuhiko Kan

Authors
  1. Kiyomi Tsukimori
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  2. Yuzo Kitadai
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  3. Nobuhiko Kan
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Corresponding author

Correspondence to Kiyomi Tsukimori.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient in this study.

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246_2018_1990_MOESM1_ESM.mp4

Movie 1. Two-dimensional color Doppler (left) and 4-dimensional color Doppler rendering (right) fetal echocardiography at 30 weeks of gestation. Four-dimensional color Doppler rendering showed simultaneously crossing bloodstreams of the 2 inlets in the transverse plane of the fetal chest, resulting in the criss-cross appearance. The spatial arrangement of the 2 atrioventricular inlets can be recognized clearly. (MP4 912 KB)

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Tsukimori, K., Kitadai, Y. & Kan, N. Prenatal Diagnosis of Criss-Cross Heart Using 4-Dimensional Color Doppler Rendering. Pediatr Cardiol 40, 237–239 (2019). https://doi.org/10.1007/s00246-018-1990-9

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  • DOI: https://doi.org/10.1007/s00246-018-1990-9

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