{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T12:11:41Z","timestamp":1772539901699,"version":"3.50.1"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T00:00:00Z","timestamp":1683244800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In this case report, we utilized a three-dimensional printing model to replicate the complex anatomy of a criss-cross heart with double outlet right ventricle\u2014an extremely rare congenital cardiac abnormality. This approach facilitated our understanding of the patient's unique condition and enabled us to plan the surgical procedure with greater precision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>Our department received a 13-year-old female patient who presented with a pronounced heart murmur and a decrease in exercise capacity. Subsequent two-dimensional imaging revealed the presence of a criss-cross heart with double outlet right ventricle\u2014an intricate and uncommon cardiac malformation that poses challenges for accurate visualization through conventional two-dimensional modalities. To address this challenge, we constructed and printed a three-dimensional model using computed tomography data, which enabled us to visualize and understand the complex intracardiac structures and plan surgical interventions with greater precision. Using this approach, we successfully performed a right ventricular double outlet repair, and the patient made a full recovery following the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The criss-cross heart with double outlet right ventricle constitutes a complex and uncommon cardiac anomaly that poses considerable challenges in terms of diagnosis and surgical intervention. Employing three-dimensional modeling and printing represents a promising approach, given its potential to enhance the precision and comprehensiveness of the anatomical evaluation of the heart. As a result, this method holds significant promise in facilitating accurate diagnosis, meticulous surgical planning, and ultimately improving clinical outcomes for patients affected by this condition.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2023.1172104","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:29:10Z","timestamp":1683264550000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Case report: Use of three-dimensional technology in criss-cross heart with double outlet right ventricle"],"prefix":"10.3389","volume":"10","author":[{"given":"Ailixiati","family":"Alifu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haifan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuntian","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renwei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,5,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1111\/jocs.12867","article-title":"Crisscross heart-morphology, clinical diagnosis, and management options","volume":"32","author":"Gajjar","year":"2017","journal-title":"J Card Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3389\/fped.2019.00023","article-title":"3D-printed models for surgical planning in complex congenital heart diseases: a systematic review","volume":"7","author":"Batteux","year":"2019","journal-title":"Front Pediatr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"93","DOI":"10.5935\/1678-9741.20130014","article-title":"Criss-cross heart: report of two cases, anatomic and surgical description and literature review","volume":"28","author":"de Oliveira","year":"2013","journal-title":"Rev Bras Cir Cardiovasc"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1429","DOI":"10.47391\/JPMA.3162","article-title":"Criss cross heart; a challenging diagnosis, case series","volume":"7","author":"Sheikh","year":"2022","journal-title":"J Pak Med Assoc"},{"key":"B5","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1002\/ase.2105","article-title":"Criss-cross heart three-dimensional printed models in medical education: a multicenter study on their value as a supporting tool to conventional imaging","volume":"15","author":"Valverde","year":"2022","journal-title":"Anat Sci Educ"},{"key":"B6","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1016\/j.jacbts.2017.10.003","article-title":"3D printing is a transformative technology in congenital heart disease","volume":"3","author":"Anwar","year":"2018","journal-title":"JACC: Basic Transl Sci"},{"key":"B7","doi-asserted-by":"publisher","first-page":"319","DOI":"10.3390\/children10020319","article-title":"Patient-specific 3D-printed models in pediatric congenital heart disease","volume":"10","author":"Sun","year":"2023","journal-title":"Children (Basel)"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1093\/ejcts\/ezx208","article-title":"Three-dimensional printed models for surgical planning of complex congenital heart defects: an international multicentre study","volume":"52","author":"Valverde","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"289","DOI":"10.3389\/fped.2017.00289","article-title":"3D Printing in surgical management of double outlet right ventricle","volume":"5","author":"Yoo","year":"2018","journal-title":"Front Pediatr"},{"key":"B10","doi-asserted-by":"publisher","first-page":"622","DOI":"10.3969\/jissn1007-5062","article-title":"The anatomical features of criss cross heart and surgical treatment","volume":"34","author":"Zhang","year":"2015","journal-title":"J CardiovascPulm Dis"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1172104\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:29:15Z","timestamp":1683264555000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1172104\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,5]]},"references-count":10,"alternative-id":["10.3389\/fcvm.2023.1172104"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1172104","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,5]]},"article-number":"1172104"}}