Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-13T16:04:36.163Z Has data issue: false hasContentIssue false
  • English
  • Français

Twisted atrioventricular connections in double inlet right ventricle: evaluation by magnetic resonance imaging

Published online by Cambridge University Press:  19 August 2008

Tae Hoon Kim ,
Shi-Joon Yoo ,
Siew Yen Ho  and
Robert H. Anderson
Tae Hoon Kim
Affiliation:
Department of Radiology, Sejong Heart Institute, Pucbeon, Korea;
Shi-Joon Yoo*
Affiliation:
Department of Radiology, Sejong Heart Institute, Pucbeon, Korea; Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, Toronto, Canada;
Siew Yen Ho
Affiliation:
Department of Paediatrics, National Heart and Lung Institute, Imperial College School of Medicine, London, United Kingdom;
Robert H. Anderson
Affiliation:
Cardiac Unit, Institute of Child Health, University College London, United Kingdom
*
Shi-Joon Yoo, MD, Department of Diagnostic Imaging, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada Tel (416) 813-6037 6029, Fax (416) 813-7591; E-mail. shi-joon.yoo@sickkids.on.ca
Get access Rights & Permissions [Opens in a new window]

Abstract

Twisted atrioventricular connections occur almost exclusively in the hearts with biventricular atrioventricular connections. Only one example of double inlet left ventricle has been illustrated in which the axes of the two atrioventricular valves crossed each other. We describe herein three patients, and one autopsied specimen, with double inlet right ventricle in which magnetic resonance imaging clearly demonstrated twisted atrioventricular connections.

Keywords

twisted atrioventricular connectionsdouble inlet right ventriclecriss-cross heartmagnetic resonance
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 6 , November 2000 , pp. 567 - 573
Copyright
Copyright © Cambridge University Press 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Yoo, S-J, Choi, Y-H. Twisted atrioventricular connections. In: Angiocardiograms in Congenital Heart Disease. Oxford University Press, New York, 1991, pp 295–298.Google Scholar
2. Seo, J-W, Yoo, S-J, Ho, SY, Lee, HJ, Anderson, RHFurther morphological observations on hearts with twisted atrioventricular connections (“criss-cross hearts”). J Cardiovasc Pathol 1991;1: 211–217.CrossRefGoogle Scholar
3. Yoo, S-J, Seo, J-W, Lim, T-W, Park, I-S, Hong, CY, Song, MG, Kim, SH, Choe, KO, Cho, B-K, Lee, HJ.Hearts with twisted atrioventricular connections: Findings at MR imaging. Radiology 1993;188: 109–113.CrossRefGoogle ScholarPubMed
4. Edwards, WD. Classification and terminology of cardiovascular anomalies. In: Emmanouilides, GC, Allen, HD, Riemenschneider, TA, Gutgesell, HP (ed). Moss and Adams: Heart Disease in Infants, Children, and Adolescents Including the Fetus and Young Adult. Williams & Wilkins, Baltimore, 1995, pp 107–131.Google Scholar
5. Freedom, RM, Mawson, JB, Yoo, S-J, Benson, LN. Twisted atrioventricular connections. So-called superoinferior ventricles or criss-cross heart. In: Congenital Heart Disease: Textbook of Angiocardiography. Futura Publishing Co., Armonk, 1997, pp 1313–1333.Google Scholar
6. Anderson, RH, Shinebourne, EA, Gerlis, L.Criss-cross atrioventricular relationships producing paradoxical atrioventricular concordance of discordance: Their significance to nomenclature of congenital heart disease. Circulation 1974;50: 176–180.CrossRefGoogle ScholarPubMed
7. Van Praagh, R, Weinberg, PM, Van Praagh, S. Malposition of the heart. In: Moss, AJ, Adams, FH, Emmanouilides, GC (ed). Heart Disease in Infants, Children and Adolescents. Williams & Wilkins, Baltimore, 1980, pp 394–417.Google Scholar
8. Freedom, RM, Culham, G, Rowe, RD.The criss-cross and superoinferior ventricular heart: An angiocardiographic study. Am J Cardiol 1978;42: 620–628.CrossRefGoogle ScholarPubMed
9. Van Praagh, S, LaCorte, M, Fellows, KE, Bossina, K, Busch, HJ, Keck, EW, Weinberg, PM, Van Praagh, R. Superoinferior ventricles: Anatomic and angiocardiographic findings in ten postmortem cases. In: Van Praagh, R, Takao, A, eds. Etiology and Morphogenesis of Congenital Heart Disease. Futura Publishing Co., Mount Kisco,1980, pp 317–378.Google Scholar
10. Anderson, RH.Criss-cross hearts revisited. Pediatr Cardiol 1982;3: 305–313.CrossRefGoogle ScholarPubMed
11. Geva, T, Van Praagh, S, Sanders, SP, Mayer, JE, Van Praagh, RStraddling mitral valve with hypoplastic right ventricle, crisscross atrioventricular relations, double outlet right ventricle and dextrocardia‘ Morphologic, diagnostic and surgical considerations. J Am Coll Cardiol 1991;17: 1603–1612.CrossRefGoogle ScholarPubMed
12. Marino, B, Sanders, SP, Pasquini, L, Giannico, S, Parness, IA, Colan, SD.Two-dimensional echocardiographic anatomy in crisscross heart. Am J Cardiol 1986;58: 325–333.CrossRefGoogle ScholarPubMed
13. Anderson, RH, Smith, A, Wilkinson, JL.Disharmony between atnoventriuclar connections and segmental combinations: unusual variants of “crisscross” hearts. J Am Coll Cardiol 1987,10: 1274–1277.CrossRefGoogle ScholarPubMed
14. Seo, JW, Choe, GY, Chi, JG.An unusual ventricular loop associated with right juxtaposition of the atrial appendages. Int J Cardiol 1989;25: 219–228.CrossRefGoogle ScholarPubMed
15. Anderson, RH, Ho, SH.Segmental interconnexions versus topological congruency in complex congenital malformations. Int J Cardiol 1989;25: 229–233.CrossRefGoogle Scholar
16. Geva, T, Sanders, SP, Ayres, NA, O'Laughlin, MP, Parness, IA.Two-dimensional echocardiographic anatomy of atrioventricular alignment discordance with situs concordance. Am HeartJ 1993;125: 459–464.CrossRefGoogle ScholarPubMed
17. Robinson, PJ, Kumpeng, V, Macartney, FJ.Cross sectional echocardiographic and angiocardiographic correlation in crisscross hearts. Br Heart J 1985;54: 61–67.CrossRefGoogle Scholar
18. Link, KM, Weesner, KM, Formanek, AG.MR imaging of the criss-cross heart. Am J Roentgenol 1989;152: 809–812.CrossRefGoogle ScholarPubMed
19. Igarashi, H, Kuramatsu, T, Shiraishi, H, Yanagisawa, M.Criss-cross heart evaluated by color Doppler echocardiography and magnetic resonance imaging. Eur J Pediatr 1990;149: 523–525.CrossRefGoogle ScholarPubMed