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[Thoracic ectopia cordis with tetralogy of fallot].

A Ben Khalfallah1, N Annabi, M Ousji

  • 1Service de cardiologie, Hôpital de Menzel Bourguiba, Tunisie.

La Tunisie Medicale
|November 12, 2003
PubMed
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Ectopia cordis, a rare congenital defect, involves the heart being outside the chest. This case highlights a neonate with ectopia cordis and Tetralogy of Fallot, emphasizing the need for early diagnosis and surgical intervention.

Area of Science:

  • Cardiology
  • Congenital Malformations
  • Neonatal Surgery

Background:

  • Ectopia cordis is a rare congenital anomaly where the heart is abnormally positioned outside the chest cavity.
  • Thoracic ectopia cordis, the most common form, presents a significant surgical challenge.
  • Early diagnosis through prenatal ultrasound is crucial for management.

Observation:

  • A full-term infant presented with a pulsating mass in the thoracic region, identified as an ectopic heart.
  • Transthoracic echocardiography revealed a complex cardiac malformation: Tetralogy of Fallot.
  • The ectopic heart was covered by a translucent membrane and enlarged with exertion.

Findings:

  • The case illustrates a rare presentation of ectopia cordis with Tetralogy of Fallot.

Related Experiment Videos

  • Prenatal diagnosis via ultrasound after 12 weeks of gestation is feasible.
  • Surgical treatment offers the only hope for affected neonates.

    • Implications:

    • Outcomes are heavily influenced by associated cardiac defects and neonatal complications, particularly infections.
    • Despite surgical advancements, the prognosis for ectopia cordis remains guarded.
    • This case underscores the importance of timely diagnosis and multidisciplinary management for improving survival rates.