The Journal of Thoracic and Cardiovascular Surgery, Vol 77, 847-851, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Surgical repair of criss-cross heart with straddling atrioventricular valve
GK Danielson, IF Tabry, DG Ritter and RE Fulton
The criss-cross heart is a rare anomaly in which systemic and pulmonary
bloodstreams cross at the atrioventricular (AV) level. Although diagnosed
now with increasing frequency, successful surgical repair of associated
anomalies has been reported only once. Straddling AV valve is another rare
cardiac anomaly which only recently is being diagnosed consistently
preoperatively and corrected surgically. This is the first report of
successful repair of cardiac anomalies in a patient with the combination of
straddling AV valve and criss-cross AV relationships. The uneventful
postoperative course and good result on follow-up in this patient are
gratifying and suggest that this combination of anomalies now can be
repaired with results as good as those for less complex forms of congenital
heart disease.