Prenatal Diagnosis of Criss-Cross Heart Using 4-Dimensional Color Doppler Rendering

Kiyomi Tsukimori1, Yuzo Kitadai2, Nobuhiko Kan3

  • 1Department of Obstetrics, Perinatal Center, Fukuoka Children's Hospital, 5-1-1 Kashiiteriha, Higashi-ku, Fukuoka, 813-0017, Japan. tsukimori.k@fcho.jp.

Pediatric Cardiology
|September 27, 2018
PubMed

Insights

Criss-cross heart, a rare congenital anomaly, can be diagnosed in fetuses using 4-dimensional color Doppler. This advanced imaging visualizes crossing ventricular inflow streams, confirming the diagnosis.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Fetal Medicine

Background:

  • Criss-cross heart is a rare congenital cardiac anomaly.
  • It is characterized by the crossing of two ventricular inflow streams.
  • Accurate prenatal diagnosis is crucial for management.

Observation:

  • This study evaluated the utility of 4-dimensional (4D) color Doppler rendering.
  • 4D color Doppler was used for diagnosing criss-cross heart in a fetus.
  • The technique visualizes the relative direction of intracardiac blood flows.

Findings:

  • 4D color Doppler rendering effectively demonstrates the crossover of ventricular inflow streams.
  • This imaging modality allows for recognition of the crossing streams in the same plane.
  • The study confirms the diagnostic capability of 4D color Doppler for fetal criss-cross heart.

Implications:

  • This non-invasive technique can aid in early and accurate prenatal diagnosis of criss-cross heart.
  • Improved diagnostic accuracy may lead to better pre-birth planning and management strategies.
  • 4D color Doppler offers a valuable tool for assessing complex congenital heart defects.

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