|IMAGES IN CLINICAL NEONATOLOGY
|Year : 2012 | Volume
| Issue : 3 | Page : 166-167
Priya Amitabh1, Rajiv Sharan1, Ashok Talapatra2
1 Department of Paediatrics, Tata Motors Hospital, Jamshedpur, India
2 BCCL Hospital, Dhanbad, Jharkhand, India
|Date of Web Publication||28-Sep-2012|
Tata Motors Hospital, Jamshedpur, Jharkhand
Source of Support: None, Conflict of Interest: None
Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks of gestation. Four chamber view of the heart in routine fetal anomaly scans at >18 weeks is the most effective technique to detect CHD prenatally.
Keywords: Ectopia cordis, cardiac anomaly, fetal anomaly scan
|How to cite this article:|
Amitabh P, Sharan R, Talapatra A. Ectopia cordis. J Clin Neonatol 2012;1:166-7
| Introduction|| |
Ectopia cordis: This case is that of a 1-day-old female born at 34 weeks of gestation by Emergency LSCS [Figure 1]. Baby had normal APGAR and examination revealed chest wall defect with mediastinal contents outside. Antenatal USG did reveal a pulsating mass outside the body cavity, but it was overlooked [Figure 2]. Antenatal fetal anomaly scan at 18-24 weeks can diagnose 50% of the major congenital heart disease. However routine four-chamber view appears to be inadequate for the outflow tract lesions, and therefore specific assessment of the outflow tracts is necessary to improve the detection rate.
Postnatal ECHO and CT thorax revealed AV canal defect with pulmonary hypoplasia.
| Discussion|| |
Ectopia cordis is a rare anomaly with a prevalence of 0.08/10,000 live births.  Four types have been recognized, viz., (1) thoracic (65%), (2) thoraco-abdominal (20%), (3) abdominal (10%), and (4) cervical. ,
It is associated with other congenital defects, e.g. hydrocephalus, cleft palate, congenital heart defects, hypoplastic lung disease, skeletal dysplasia, diaphragmatic hernia, abdominal wall defect, etc. 
Prognosis is poor and parents should be counseled for mid-trimester termination of pregnancy. Attempts at surgical correction have been largely unsuccessful.
| References|| |
|1.||Khoury MJ. Ectopiacordis, midline defects and chromosome abnormalities: An epidemiologic perspective. Am J Med Genet 1988;30:811-7. |
|2.||Blatt ML. Ectopiacordis: Report of a case and review of the literature. Am J Dis Child 1942;63:515. |
|3.||Byron F. Ectopiacordis: Report of a case with attempted operative correction. J Thorac Surg 1949;17:717-22. |
|4.||Cantrell JR. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 1958;107:602-14. |
[Figure 1], [Figure 2]