Transcatheter Aortic Valve Replacement in a Patient With Criss-Cross Heart

Daniel Lewin; Karel M Van Praet; Gaik Nersesian; Marcus Kelm; Markus Kofler; Martin Baumgartner; Jörg Kempfert; Volkmar Falk; Christoph Klein; Axel Unbehaun

doi:10.1016/j.jaccas.2022.06.006

Transcatheter Aortic Valve Replacement in a Patient With Criss-Cross Heart

JACC Case Rep. 2022 Aug 3;4(15):934-940. doi: 10.1016/j.jaccas.2022.06.006.

Authors

Daniel Lewin^{1

2}, Karel M Van Praet^{1

3}, Gaik Nersesian^{1

3}, Marcus Kelm^{2

4

5}, Markus Kofler^{1

3}, Martin Baumgartner⁶, Jörg Kempfert^{1

3}, Volkmar Falk^{1

3

5

7

8}, Christoph Klein⁹, Axel Unbehaun^{1

3}

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.
² Department of Congenital Heart Disease, German Heart Center Berlin, Berlin, Germany.
³ DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.
⁴ Institute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité-Universitätsmedizin Berlin, Berlin, Germany.
⁵ Berlin Institute of Health, Berlin, Germany.
⁶ Department of Cardiac Anaesthesiology and Intensive Care Medicine, German Heart Center Berlin, Berlin, Germany.
⁷ Department of Cardiovascular Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health (BIH), Berlin, Germany.
⁸ Translational Cardiovascular Technologies, Institute of Translational Medicine, Department of Health Sciences and Technology, Swiss Federal Institute of Technology (ETH) Zurich, Zurich, Switzerland.
⁹ Department of Internal Medicine-Cardiology, German Heart Center Berlin, Berlin, Germany.

Abstract

This paper presents the first transcatheter management of severe aortic regurgitation in a 77-year-old woman with a criss-cross heart-an extremely rare and complex congenital heart disease. The procedure achieved an elimination of aortic regurgitation and resulted in a remarkable improvement of the patient's physical condition. (Level of Difficulty: Advanced.).

Keywords: AR, aortic regurgitation; CCH, criss-cross heart; CMR, cardiac magnetic resonance; CT, computed tomography; NAVR, native aortic valve regurgitation; NYHA, New York Heart Association; SAVR, surgical aortic valve replacement; TAVI; TAVR; TAVR, transcatheter aortic valve replacement; TTE, transthoracic echocardiography; VSD, ventricular septal defect; aortic valve regurgitation; criss-cross heart.

Publication types

Case Reports