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Criss cross heart: A challenging diagnosis

Abdul Malik Sheikh1, Asma Kanwal1, Hina Sattar2

  • 1Department of Pediatric Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|September 26, 2022
PubMed

Insights

Crisscross heart (CCH) is a rare congenital heart defect. Early diagnosis via echocardiography is crucial for improved outcomes in affected children.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Imaging

Background:

  • Crisscross heart (CCH) is a rare congenital anomaly.
  • Characterized by twisting of ventricular inflow streams.
  • Etiology remains largely unknown.

Observation:

  • Presents with cyanosis in neonates and shortness of breath in older children.
  • A case series of CCH with various associations is presented.
  • Echocardiography is the primary diagnostic tool.

Findings:

  • CCH is a rare heart defect with a low incidence.
  • Diagnosis requires vigilant echocardiographic assessment.
  • Associated anomalies can occur in CCH patients.

Implications:

  • Early diagnosis of CCH is vital for management.
  • Timely intervention improves survival rates.
  • Enhanced quality of life is achievable with prompt care.

Keywords:
Criss-Cross heart, mitral valve lesions, coarctation of aorta, Echocardiography, case series

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