Thoracic ectopia cordis: A case report.
Fabian Andres Merchan BustosIsabel Cristina Mesa-CanoMaría Graciela Merchán-CoronelAndrés Alexis Ramírez-CoronelXavier Rodrigo Yambay-BautistaBraulio Fernando Álvarez-LojaPublished in: Medwave (2024)
Ectopia cordis is a congenital heart malformation of the sternal wall, with a prevalence of 0.1% among heart conditions and an incidence of 5.5 to 7.9 per million births. It is characterized by the heart being located outside the thoracic cavity, and it may be accompanied by other congenital anomalies such as omphalocele, Cantrell´s pentalogy, or Fallot´s tetralogy. We present a case of thoracic ectopia cordis in a male neonate. After birth, we also observed a midline thoracic malformation and respiratory difficulties with clinical and paraclinical features consistent with tetralogy of Fallot. It was decided to provide skin flap coverage, and due to the poor prognosis of the heart condition, palliative care was chosen. Unfortunately, the neonate passed away after seven days. This clinical case study contributes to understanding this rare condition and may help improve diagnosis and treatment of affected patients.
Keyphrases
- poor prognosis
- spinal cord
- palliative care
- heart failure
- long non coding rna
- end stage renal disease
- risk factors
- atrial fibrillation
- ejection fraction
- newly diagnosed
- chronic kidney disease
- gestational age
- soft tissue
- pulmonary artery
- healthcare
- spinal cord injury
- pulmonary arterial hypertension
- breast reconstruction