Pregnancy in a Previously Conjoined Thoracopagus Twin with a Crisscross Heart.
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.
Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Emory University School of Medicine, 8th Floor, 550 Peachtree Street, Atlanta, GA 30308, USA.
Bassam H
BH
Rimawi
Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Emory University School of Medicine, 8th Floor, 550 Peachtree Street, Atlanta, GA 30308, USA.
Iris
I
Krishna
Department of Congenital Cardiology, Emory University School of Medicine, 8th Floor, 550 Peachtree Street, Atlanta, GA 30308, USA.
Anurag
A
Sahu
Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Emory University School of Medicine, 8th Floor, 550 Peachtree Street, Atlanta, GA 30308, USA.
Martina L
ML
Badell