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A Pulmonary Trunk Banding Model of Pressure Overload Induced Right Ventricular Hypertrophy and Failure
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Thoracic ectopia cordis.

Jimmy Shad1, Keshav Budhwani, Rakesh Biswas

  • 1General Surgery Department, People's College of Medical Sciences and Research Centre Bhopal, Bhopal, India.

BMJ Case Reports
|October 5, 2012
PubMed
Summary
This summary is machine-generated.

Ectopia cordis, a rare congenital defect, displaces the heart outside the chest. This case highlights the severe respiratory distress and rapid mortality associated with this condition in neonates.

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Area of Science:

  • Pediatric Cardiology
  • Congenital Malformations
  • Neonatal Surgery

Background:

  • Ectopia cordis is a rare congenital anomaly characterized by the heart's displacement outside the thoracic cavity due to anterior chest wall defects.
  • The condition's prevalence is estimated at 5.5 to 7.9 per million live births, representing a severe developmental abnormality.

Observation:

  • A 15-hour-old neonate presented with an externally visible, beating heart, indicative of ectopia cordis.
  • The infant exhibited significant respiratory distress and peripheral cyanosis, suggesting compromised cardiopulmonary function.

Findings:

  • The neonate experienced cardiorespiratory arrest shortly after birth.
  • Despite resuscitation efforts, the infant's condition was incompatible with survival, and surgical intervention was not feasible.

Implications:

  • This case underscores the critical and often fatal nature of ectopia cordis in neonates.
  • Early diagnosis and management strategies are crucial, though often limited by the severity of the defect.