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Criss-cross heart with double-outlet right ventricle,subpulmonary ventricular septal defect,and bicuspid pulmonary valve
Authors:Sihua Ren MD  Chunyan Ma MD  PhD  Songbai Li MD  PhD
Affiliation:1. Department of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, China;2. Department of Cardiovascular Ultrasound, The First Affiliated Hospital of China Medical University, Shenyang, China
Abstract:Criss-cross heart (CCH) is an extremely rare complex congenital heart malformation. It accounts for less than 0.1% of congenital heart diseases. Here, we describe a unique case of CCH with double-outlet right ventricle, huge subpulmonary ventricular septal defect, bicuspid pulmonary valve, and right-hand aortic arch. The anatomic features were observed with echocardiography, and the diagnosis was confirmed at surgery. Many variations of CCH have been described. The present case expands the spectrum of this entity and may provide new insight into this complex anatomy.
Keywords:aortic arch  bicuspid pulmonary valve  congenital cardiac defects  criss-cross heart  echocardiography
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