{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:57:32Z","timestamp":1785430652862,"version":"3.56.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"unspecified","delay-in-days":25,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S104795112611138X_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Aortopulmonary window is an uncommon CHD that often coexists with additional cardiovascular anomalies. Criss-cross heart, defined by rotation of the ventricular mass with crossed atrioventricular inflow streams, is exceedingly rare. The coexistence of aortopulmonary window and criss-cross heart is exceptional and markedly increases diagnostic and therapeutic complexity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S104795112611138X_as2\">\n                    <jats:title>Case summary:<\/jats:title>\n                    <jats:p>We report a full-term neonate with prenatal suspicion of aortopulmonary window. Postnatal echocardiography and CT demonstrated situs solitus, concordant atrioventricular and ventriculoarterial connections, rotational malalignment of the ventricles consistent with criss-cross heart, an inferior sinus venosus atrial septal defect, and a large type III aortopulmonary window. There was marked right-sided dilation and evolving right ventricular dysfunction, although no interrupted aortic arch was identified. At 17 days of life, the patient underwent early surgical repair with reconstruction of the aortic pathway. Despite anatomically successful correction, the immediate postoperative course was complicated by severe ventricular dysfunction and refractory low cardiac output syndrome, requiring venoarterial extracorporeal membrane oxygenation for haemodynamic stabilisation. Extracorporeal membrane oxygenation was discontinued on day nine, and follow-up imaging showed preserved biventricular systolic function and no residual aortopulmonary window.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S104795112611138X_as3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case illustrates an exceptionally rare association between aortopulmonary window and criss-cross heart, underscoring the value of prenatal detection and detailed postnatal imaging to delineate complex anatomical relationships. Early surgical intervention was mandatory, and the need for extracorporeal membrane oxygenation highlights the high intrinsic risk of this anatomical combination. Reporting such cases expands the limited literature on rare congenital cardiac malformations and may inform future refinements in diagnostic evaluation and perioperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s104795112611138x","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T13:42:26Z","timestamp":1772113346000},"page":"409-412","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Aortopulmonary window associated with criss-cross heart: a rare and complex neonatal presentation"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0278-5270","authenticated-orcid":false,"given":"Jo\u00e3o Macedo","family":"Coelho Neto","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Filipe","family":"Torres de Alencar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Luka","family":"Dias Mota","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"De Andrade Nor\u00f5es Bezerra","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Araujo Pinheiro","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Da Silva Ferreira Marinho","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro","family":"Teixeira Bentes Monteiro","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02ynbzc81","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade de Fortaleza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kl\u00e9bia","family":"Magalh\u00e3es Pereira Castello Branco","sequence":"additional","affiliation":[{"name":"Hospital de Messejana Dr. Carlos Alberto Studart Gomes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirella","family":"Albuquerque Martins","sequence":"additional","affiliation":[{"name":"Hospital de Messejana Dr. Carlos Alberto Studart Gomes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9a","family":"Consuelo de Oliveira Teles","sequence":"additional","affiliation":[{"name":"Hospital de Messejana Dr. Carlos Alberto Studart Gomes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00edlia Miguel","family":"Da Silveira","sequence":"additional","affiliation":[{"name":"Hospital de Messejana Dr. Carlos Alberto Studart Gomes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camylla","family":"Santos de Souza","sequence":"additional","affiliation":[{"name":"Hospital de Messejana Dr. Carlos Alberto Studart Gomes"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice","family":"Torres de Melo Bezerra 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an overview of anatomy and clinical relevance","volume":"30","author":"Anderson","year":"2020","journal-title":"Cardiol Young"},{"key":"S104795112611138X_ref12","first-page":"92","article-title":"Extracorporeal membrane oxygenation in neonates after congenital heart surgery: indications and outcomes","volume":"57","author":"Larsen","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"S104795112611138X_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-025-04659-y"},{"key":"S104795112611138X_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.12936"},{"key":"S104795112611138X_ref9","first-page":"377","article-title":"Prenatal echocardiographic diagnosis of rare congenital heart defects: accuracy and clinical impact","volume":"58","author":"Gon\u00e7alves","year":"2021","journal-title":"Ultrasound Obstet Gynecol"},{"key":"S104795112611138X_ref11","first-page":"45","article-title":"Aortopulmonary window: surgical techniques and outcomes in neonates and 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}