Unique type of criss-cross heart
-
- SENNARI E.
- Department of Pediatrics, Miyazaki Medical College
-
- SATO YUICHI
- Department of Pediatrics, Miyazaki Prefectural Hospital
-
- MATSUOKA YUJI
- Department of Pediatrics, Miyazaki Medical College
-
- OKIOSHIMA TAKAHIRO
- Department of Pediatrics, Miyazaki Medical College
-
- HAYAKAWA KUNIO
- Department of Pediatrics, Miyazaki Medical College
-
- ANDO MASAHIKO
- Department of Pediatric Cardiology, The Heart Institute, Tokyo Women's Medical College
Search this article
Abstract
Three cases of criss-cross heart which we have observed during last five years are described. All of these cases were diagnosed by angiocardiography and two-dimensional echocardiography, and one of them was verified by autopsy. Two of them are unique among cases reported thus far. Case 1 shows ordinary criss-crossing with supero-inferior ventricle, and case 2, extreme crossing atrioventricular (A-V) valves, in which the right-sided right atrium connects to the left posteriorly positioned right ventricle through the tricuspid valve, and the left-sided left atrium to the right anterior left ventricle via a posteriorly positioned mitral valve. In case 3, the criss-cross appearance is secondary to displacement of the heart by compression caused by a diaphragmatic hernia. Findings in these cases suggest that criss-cross heart is caused not only by primary rotation of the ventricles during cardiac morphogenesiss but also by secondary rotation of a formed heart induced by extracardiac compression. The degree of rotation in these cases revealed a wide spectrum from minimal to extreme. In addition, subxiphoid two-dimensional contrast echocardiography is recommended as the only accurate method of non-invasive diagnosis of this condition.
Journal
-
- Jpn. Circ. J.
-
Jpn. Circ. J. 49 329-334, 1985
Japanese Circulation Society
- Tweet
Details 詳細情報について
-
- CRID
- 1572543026977101568
-
- NII Article ID
- 110002579980
-
- NII Book ID
- AA00690731
-
- ISSN
- 00471828
-
- Text Lang
- en
-
- Data Source
-
- CiNii Articles