Multimodality cardiac imaging for pre-operative evaluation in a paediatric criss-cross heart patient: a case report.

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

European Heart Journal: Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI:10.1093/ehjcr/ytaf223

Kwannapas Saengsin, Surin Woragidpoonpol, Tanop Srisuwan, Rekwan Sittiwangkul, Krit Makonkawkeyoon

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Abstract

Background: Criss-cross heart (CCH) is considered as one of the most complex, challenging, and exceptionally rare congenital heart diseases (CHDs). Criss-cross heart is defined by the twisted atrioventricular connection and the crossing of inflow streams to both ventricles, caused by the rotation of the ventricular mass along its longitudinal axis. The treatment depends on the anatomical complexity. Diagnosis of CCH is difficult, and interpretation of imaging results may be challenging.

Case summary: A one-year-old girl presented with cyanosis and abnormal heart sounds. We report a patient with complex congenital CCH who underwent successful biventricular repair using multimodality cardiac imaging, including echocardiography, cardiac computerized tomography, 3D printing, and 4D flow-CMR (cardiac magnetic resonance).

Discussion: Criss-cross heart is one of the most complex and rare CHD. Multimodality cardiac imaging is essential for finding the answers and providing better care for complex CHD patients.

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多模态心脏成像在儿科交叉心脏患者术前评估：一个病例报告。

背景：交叉心（CCH）被认为是最复杂、最具挑战性和极其罕见的先天性心脏病（CHDs）之一。交叉心脏的定义是由于心室质量沿其纵轴旋转引起的房室连接扭曲和流入流穿过两个心室。治疗取决于解剖的复杂性。CCH的诊断是困难的，成像结果的解释可能具有挑战性。病例总结：1岁女童，表现为紫绀和心音异常。我们报告了一位患有复杂先天性CCH的患者，他采用多模态心脏成像，包括超声心动图、心脏计算机断层扫描、3D打印和4D血流cmr（心脏磁共振），成功地进行了双心室修复。讨论：十字心是最复杂、最罕见的冠心病之一。多模态心脏成像对于寻找答案和为复杂的冠心病患者提供更好的护理至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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