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  1. An important clue to the diagnosis of criss-cross heart is the inability to image flow across the two AV valves in the same plane. b-SSFP cine images show this unusual arrangement of the AV valves, perpendicular to one another (E), with the subpulmonary left ventricle (LV) located inferiorly and the smaller systemic right ventricle (RV) superiorly, resulting in a twisted appearance (G); a large (approximately 20 mm) non-restrictive ventricular septal defect is also noted, with bidirectional ...

  2. Criss-cross-heart is an uncommon anomaly, not exceeding 8 per 1 000 000 births and accounting for less than 0.1% of all congenital heart malformations. 1 The atrioventricular structures are normally parallel to each other whereas angulated by as much as 90 degrees in a criss-cross heart. 2–5 Crossing of the systemic and pulmonary venous inflows occurs separately at the atrioventricular level in this congenital rotational anomaly. The crossed atrioventricular connections can be concordant ...

  3. May 31, 2023 · The first published description of a heart with twisted atrioventricular connections was that of Lev and Rowlatt, published in 1961 [].The term “criss-cross heart” was then suggested by Anderson and his colleagues in 1974 when they described two autopsied hearts where there was “crossing of systemic and pulmonary bloodstreams (without mixing) at the atrioventricular level” [].

  4. Disease definition. Criss cross heart (CCH) is a cardiac malformation where the inflow streams of the two ventricles cross due to twisting of the heart about its major axis. The clinical features depend on the particular cardiac defects associated, like simple or corrected transposition of the great arteries and ventricular septal defects.

  5. Mar 1, 2013 · Criss-cross heart is an extremely rare anomaly, characterized by an abnormal rotation of the ventricular mass along its major axis. It may be associated with any malformation of the heart segments ...

  6. This index increases if premature and stillbirths were considered. Criss-cross heart anomaly is extremely rare, accounting for less than 0.1% of all congenital heart defects, not exceeding 8 per 1,000,000 births [1]. The morphological essence of the criss-cross heart is a rotation of the ventricular mass along its major axis [1].

  7. Crisscross atrioventricular valves (CCAV) are complex arrangements with streaming of venous inflows without mixing into superior-inferior ventricles. Rarely do patients age well without early definitive surgery. The Rastelli operation closes the ventricular septal defect (VSD) via intracardiac baffle that directs blood from the left ventricle ...