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• W1997348532 abstract "HomeCirculationVol. 106, No. 25Criss–Cross Heart With D–Ventricular Loop Free AccessLetterPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessLetterPDF/EPUBCriss–Cross Heart With D–Ventricular Loop Bruno Marino, MD and Federica Mileto, MD Bruno MarinoBruno Marino Pediatric Cardiology, Institute of Pediatrics, University of Rome “La Sapienza”, Rome, Italy, [email protected] Search for more papers by this author and Federica MiletoFederica Mileto Pediatric Cardiology, Institute of Pediatrics, University of Rome “La Sapienza”, Rome, Italy, [email protected] Search for more papers by this author Originally published17 Dec 2002https://doi.org/10.1161/01.CIR.0000043506.25542.0CCirculation. 2002;106:e223To the Editor:In a recent issue of Circulation, we saw the interesting images concerning magnetic resonance angiography in a patient with criss–cross heart.1 In the description of the case, the authors correctly report the atrial situs (solitus), the position of the ventricle (inverted), and the connection of the great arteries (discordant with L–position of the aorta).This is the most frequent anatomical pattern of criss–cross heart.2 Despite the inverted position of the ventricle, however, these patients have a D–ventricular loop, not a L–ventricular loop as suggested by the authors.1 In fact, the atrioventricular connections are concordant and the topology of the right ventricle is of the “right hand” type.2,4,5 The case reported by the authors1 is a “complete transposition of great arteries” with an exaggerated D–looping movement bringing the anatomic right ventricle to the left and causing the crossed atrioventricular connections. By contrast, the criss–cross heart with L–ventricular loop is a “congenitally corrected transposition of great arteries” with an exaggerated L–looping movement that brings the anatomic right ventricle to the right, maintaining its “left hand” topology.4,5 Authors who have described criss–cross heart previously are in agreement with this anatomic description of the ventricular loop and with this embryological explanation.2–51 Araoz PA, Reddy GP, PD, Higgins CB. Magnetic resonance angiography of criss–cross heart. Circulation. 2002; 105: 537–538.CrossrefMedlineGoogle Scholar2 Marino B, Sanders S, Pasquini L, et al. Two–dimensional echocardiographic anatomy in criss–cross heart. Am J Cardiol. 1986; 58: 325–333.CrossrefMedlineGoogle Scholar3 Tadavarthy SM, Formanek A, Castaneda–Zuniga W, et al. The three types of criss–cross heart: a simple rotational anomaly. Br J Radiol. 1981; 54: 736–743.CrossrefMedlineGoogle Scholar4 Anderson RH. Criss–cross hearts revisited. Pediatr Cardiol. 1982; 3: 305–312.CrossrefMedlineGoogle Scholar5 Van Praagh R. Nomenclature and classification: morphologic and segmental approach to diagnosis. In: Moller JH, Hoffman JIE, eds. Pediatric Cardiovascular Medicine. Philadelphia, Pa: Churchill Livingstone; 2000.Google Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Martínez Quintana E, Rodríguez González F and Ágredo Muñoz J (2008) Criss cross heart in a congenitally corrected transposition of the great arteries, International Journal of Cardiology, 10.1016/j.ijcard.2007.11.093, 130:2, (e81-e82), Online publication date: 1-Nov-2008. Ming Z and Yumin Z (2007) Magnetic Resonance Evaluation of Criss-Cross Heart, Pediatric Cardiology, 10.1007/s00246-007-9069-z, 29:2, (359-365), Online publication date: 1-Mar-2008. December 17, 2002Vol 106, Issue 25 Advertisement Article InformationMetrics https://doi.org/10.1161/01.CIR.0000043506.25542.0CPMID: 12485973 Originally publishedDecember 17, 2002 PDF download Advertisement" @default.
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