Case Report

A Case of Antenatal Diagnosis of Ectopia Cordis with Cardiac Disease

Abstract

Ectopic cordis is a rare anomaly with incidence of 5.5 to 7.9 per one million. In this anomaly, fetal heart is displayed towards outside of the thoracic cavity partially or completely. We describe a case of antenatal diagnosis of Thoracic Ectopia Cordis (EC) with CongenitalHeartDisease (CHD) without any other extracardiac malformations. The mother was referred to our center at 18 weeks of gestation due to abnormal sonography. Fetal Echocardiographic examination showed isolated thoracic ectopia cordis with Double Outlet Right Ventricle (DORV), large inlet to outlet Ventricular Septal Defect (VSD), malposition of Aorta, Pulmonary Atresia with retrograde flow, narrow Pulmonary Artery (PA) and PA branches. Amniocentesis and sonography revealed no other anomaly or chromosomal derangement. Because the diagnosis of Ectopia cordis may be difficult in the fetal period due to multiple factors, meticulous attention should be paid for true diagnosis.

[1]Taksande MA, Vilhekar YK. A case report of ectopia cordis and omphalocele. Indian J Hum Genet 2013 Oct-Dec; 19(4): 491–493.
[2]Ramasauskaite D, Snieckuviene V, Zitkute V, Vankeviciene R, Lauzikiene D, and Drasutiene G. A Rare Case Report of Thoracic Ectopia Cordis:An Obstetrician’s Point of View in Multidisciplinary Approach .Case Reports in Pediatrics 2016, Article ID 5097059 | https://doi.org/10.1155/2016/5097059( 19804 Jul 2016).
[3]Pannová J, Kováčová H, Matura D, Gruszka T, Pavlíček J, Delongová P. Ectopia Cordis-Case Report. Ceska Gynekol, 2015 Jun; 80(3):214-217.
[4]Abigail G, Donnelly J, Kuc A, Daniel G, Doros G, Matusz P, Loukas M.Ectopia Cordis: A Rare Congenital Anomaly . Clin. Anat. 2014; 27:1193– 1199
[5]Oumarou H, Amadou MI, Harissou A, Ousseini A.Ectopia Cordis: A Case Report and Review of Literature. Journal of Case Reports, 2017;7(2):143- 145
[6]Engum SA, “Embryology, sternal clefts, ectopia cordis, and Cantrell’s pentalogy”.Seminars in Pediatric Surgery, 2008(17);no.3: 154–160.
7] Agrawal SN, JoshiVK, Sanapale S,Tiwari PC. Ectopia cordis: a case report. International Surgery Journal 2018 Feb;5(2):739-742.
[8]Madhavi D, and Rajasree TK. Thoracic Ectopia Cordis - A CASE REPORT IJBR, 2012;3(01):69-73.
[9]Apte AV. Thoraco-Abdominal Ectopia Cordis: A Rare Entity. Case Report and Review of Literature People’s Journal of Scientific Research 2008; July (1):31-33.
[10] Barakat A Animasahun,Akpoembele D Madise W.Thoracic Ectopic Cordis in a Nigerian Child. Journal of Cardiology & Current Research, 2016;6(6):00227.
[11] Malik R1, Zilberman MV, Tang L, Miller S, Pandian NG. Ectopia Cordis with a Double Outlet Right Ventricle, Large Ventricular Septal Defect, Malposed Great Arteries and Left Ventricular Hypoplasia. Echocardiography, 2015
Mar;32(3):589–591.
[12] .Turkyilmaz G, Avci S,Sivrikoz T,Ertrk E,Altunoglo U,Turkyilmazlmaz SE,Kalelioglu IH,Has R,Yuksel A.Prenatal Diagnosis and management of Ectopia Cordis:Varied Presentation Spectrum. Journal of Fetal and Pediatric pathology, 2019(38), Issue 2:127-137.
[13] Piraste A,Carcano C,Kirsch J,Mohammed TLH. Pentalogy of Cantrell with ectopia cordis:CT findings.
Journal of radiology case reports, 2014;8(12):29-
[14] Madi JM,José Festugatto JR, Rizzon M, Agostini AP, de Araújo BF,Rahmi Garcia RM.Ectopia Cordis associated with pantalogy of Cantrell,A case report. Rev. Bras. Gynecol. Obstet. 2019;41(5):352-356.
[15] Mendoza J. Cardiac abnormality ectopia cordis. Internal J of pregnancy and child birth, 2020;6(1)
[16] Hakim K,Ayari J,Jebri F,Msaad H,Ouarda F,Chaker L,Boussaada R. Cardiac anomalies in cantrell’s
pantalogy from ventricular diverticulum to complete thoracic thoracic ectopia cordis. Cardiol Tunis, 2013; 9(1): 94–97. 237
[17] Shad J,Budhwani K,Biswas R.Thoracic ectopia cordis. BMJ casereports 2012 http://dx,doi.org/10.1136/bcr.11.2011.5241.PMCID: PMC4543290, PMID:23035158(published online 2012 sep 30)
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IssueVol 8 No 1 (2023): Janyary-February QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v8i1.13098
Keywords
Ectopia cordis Pregnancy Prenatal diagnosis Heartdisease

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How to Cite
1.
Rashidighader F, Khorgami M, Caruso E, Silvia F, Masihi R. A Case of Antenatal Diagnosis of Ectopia Cordis with Cardiac Disease. CRCP. 2023;8(1):34-38.