Echocardiographic recognition of a criss-cross heart with double outlet right ventricle

Area of Science:

• Cardiology
• Developmental Biology
• Medical Imaging

Background:

• Crisscross heart (CCH) is a rare congenital cardiac malformation.
• The underlying developmental mechanisms and causes of CCH remain largely unknown.
• Neonatal presentation typically includes cyanosis and a systolic murmur.

Observation:

• This report presents a unique case of CCH.
• The patient exhibited concordant atrioventricular connections.
• A coexisting diagnosis of double outlet right ventricle (DORV) was identified.

Findings:

• Echocardiography successfully diagnosed the complex cardiac malformation.
• The case highlights a specific anatomical presentation of CCH with DORV.
• This finding contributes to the understanding of CCH variations.

Implications:

• This case expands the spectrum of known CCH presentations.
• Further research into CCH developmental pathways is warranted.
• Accurate echocardiographic diagnosis is crucial for managing complex congenital heart disease.