Dr. Parveen Yograj (General Surgery) needs a second opinion on this medical case.
Complete Ectopia Cordis: A Case
Ectopia cordis (EC) is a rare congenital cardiac malformation defined as a defect in the anterior chest wall and abdominal wall with abnormal placement of the heart outside the thoracic cavity with associated defect in the parietal pericardium diaphragm, sternum, and in most cases cardiac malformations . Ectopia cordis is also defined as complete or partial displacement of heart outside the thoracic cavity. Ectopia cordis was first observed 5000 years ago and the term ectopia cordis was first described by Haller et al. in 1706 . It is generally a sporadic malformation, with reports linking it to chromosomal abnormalities like trisomy 18, Turner syndrome, 46,XX, and 17q+. The occurrence prevalence is estimated to be between 5.5 and 7.9/million live births [3–7].
Despite advances in neonatal cardiac surgery, complete thoracic/thoracoabdominal ectopia cordis remains a surgical challenge with only few long-term survivors [8–10]. We present a case report and review of literature and also draw the attention of neonatologist and other stakeholders in care of such patient by highlighting that even though this case is rare and prognosis following surgery is poor, this condition does occur and when identified early surgical intervention may make a difference even in poor-resources setting like ours.
This child was delivered yesterday