Criss-cross con discordancia auriculoventricular, acabalgamiento de la válvula auriculoventricular derecha, doble salida del ventrículo derecho y preexcitación

Cabrera Duro, A.; Rodrigo Carbonero, D.; Luis García, M.; Pastor Menchaca, E.; Galdeano Miranda, J.M.

doi:10.1016/S1695-4033(03)78766-9

Anales de Pediatría (English Edition)

ISSN: 2341-2879

The Spanish Pediatric Association (Asociación Española de Pediatría, AEP) has as one of its main objectives the dissemination of rigorous and up-to-date scientific information on the various areas of pediatrics. Annals of Pediatrics is an open access journal that serves as the Association's Scientific Expression Organ and constitutes the vehicle through which members communicate. Annals of Pediatrics publishes, in English and Spanish, original research papers on pediatrics, as well as review articles prepared by experts in each specialty, and guidelines or positioning documents prepared by the different Societies/Specialized Sections integrated into the Spanish Pediatric Association. The journal, a reference for Spanish-speaking pediatrics, is indexed in the most important international databases: Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ).

Indexed in:

Index Medicus/Medline IBECS, IME, SCOPUS, Science Citation Index Expanded, Journal Citations Report, Embase/Excerpta Medica, Directory of Open Access Journals (DOAJ)

Se presenta un recién nacido con cianosis, disnea y taquicardia supraventricular por reentrada con buena respuesta al tratamiento. El diagnóstico de la cardiopatía se realizó por ecocardiografía. El paciente falleció súbitamente a los 6 días. El estudio anatómico confirmó la anomalía: corazón en criss-cross con discordancia auriculoventricular (AV), válvula derecha acabalgante, válvula AV izquierda estenótica en conexión con el ventrículo trabeculado anterior del que emergían los dos vasos, aorta y pulmonar.

La rotación precoz cuando la septación no ha concluido favorece las anomalías de las válvulas AV y las alteraciones del ritmo.

Palabras clave:

Corazón en criss-cross

Discordancia auriculoventricular

Ventrículo derecho doble salida

Acabalgamiento de la válvula auriculoventricular

We report the case of a newborn with cyanosis, dyspnea, and supraventricular tachycardia due to reentry with good response to medical therapy. The diagnosis was made by echocardiography. The patient died suddenly at 6 days of follow-up. Necropsy confirmed the following anomaly: criss-cross heart with straddling right atrioventricular valve, and left atrioventricular valve stenosis connected to the anterior trabeculated ventricle giving rise to the pulmonary artery and aorta.

Precocious rotation when septal closure is not concluded favors atrioventricular valve anomalies and rhythm disorders.

Key words:

Criss-cross heart

Atrioventricular discordance

Double outlet right ventricle

Straddling A-V valve

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