Abstract
Background. Crisscross heart (CCH) is a complex, rare, congenital, rotational, cardiac abnormality that accounts for <0.1% of congenital heart defects (CHD). CCH is characterized by the crossing of the inflow streams of the two ventricles due to an abnormal twisting of the heart. A case of maternal CCH has not been previously reported. Case. We report a case of a primigravida with a CCH, who was separated at birth from her thoracopagus conjoined twin. Pregnancy was managed by congenital cardiology, maternal-fetal medicine, anesthesiology, and obstetrics. She underwent a 39-week vaginal delivery without maternal or neonatal complication. Conclusion. A successful term pregnancy outcome was achieved in a patient with CCH using a multidisciplinary approach to address her cardiac condition.
Highlights
The incidence of multiple gestations continues to increase, accounting for more than 3% of all live births in the United States [1]
The majority of conjoined twins do not survive and their outcome depends on the type of fusion and associated defects [2]
Crisscross heart (CCH) is a complex, rare, congenital, rotational abnormality that accounts for
Summary
Crisscross heart (CCH) is a complex, rare, congenital, rotational, cardiac abnormality that accounts for
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