Document Detail

Echocardiographic evaluation of hearts with twisted atrioventricular connections (criss-cross heart).
MedLine Citation:
PMID:  7883655     Owner:  NLM     Status:  MEDLINE    
An echocardiographic study was performed on seven patients with twisted atrioventricular connections (criss-cross heart) relative to the usual atrial arrangement. The atrioventricular connections were concordant in five patients and discordant in two. The ventriculoarterial junction was either double-outlet right ventricle (n = 6) or discordant connections (n = 1). Associated cardiac defects were ventricular septal defect (n = 7), pulmonary stenosis (n = 5), straddling tricuspid valve (n = 2), and straddling mitral valve (n = 1). Malalignment between the atrial and ventricular septum was the most important feature of this disease and resulted in altered spatial orientation of the trabecular ventricular septum, and recesses in the ventricles and the right atrium. When assessed by echocardiography, these anatomical features were not invariably recognized in every case, but they were dependent upon the type of atrioventricular connections and the presence of straddling of the atrioventricular valves. Left ventricular recess was the most consistent feature and was present in every patient, regardless of the atrioventricular connections. Right atrial recess was found in four of five patients with concordant atrioventricular connections but was not present in patients with discordant atrioventricular connections. Right ventricular recess was recognized as such in a single patient with concordant atrioventricular connection and straddling mitral valve. The trabecular septum was oriented in a horizontal plane in hearts with concordant atrioventricular connections and without atrioventricular valve straddling. The trabecular septum was oriented semivertically in all other hearts.(ABSTRACT TRUNCATED AT 250 WORDS)
H S Han; J W Seo; J Y Choi
Related Documents :
10585085 - Left superior vena cava to the left atrium: do we have to change the traditional approach?
1596145 - Surgical treatment of tricuspid regurgitation.
447175 - Nomenclature of the univentricular heart.
11499605 - Traumatic tricuspid valve insufficiency: case report.
20545995 - New annular tissue doppler markers of pulmonary hypertension.
7909195 - Anti-arrhythmic efficacy of beta-adrenergic blockade during acute ischemia in myocardiu...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Heart and vessels     Volume:  9     ISSN:  0910-8327     ISO Abbreviation:  Heart Vessels     Publication Date:  1994  
Date Detail:
Created Date:  1995-04-07     Completed Date:  1995-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8511258     Medline TA:  Heart Vessels     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  322-6     Citation Subset:  IM    
Department of Pediatrics, Chungbuk National University Hospital, Chungju, Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Child, Preschool
Crisscross Heart / physiopathology,  ultrasonography*
Heart Atria / abnormalities
Heart Ventricles / abnormalities

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Usefulness of transesophageal echocardiography for guiding pulmonary artery catheter placement in th...
Next Document:  Diagnosis of tuberculous meningitis by enzyme-linked immuno-sorbent assay (ELISA), using an affinity...