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Semiconductor Sequencing for Preimplantation Genetic Testing for Aneuploidy
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Published on: August 25, 2019

Ectopia cordis in a first-trimester sonographic screening program for aneuploidy.

Waldo Sepulveda1, Amy E Wong, Luis Simonetti

  • 1Fetal Medicine Center, Clinica Las Condes, Santiago 20, Chile. fetalmed@yahoo.com

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
|April 27, 2013
PubMed
Summary
This summary is machine-generated.

Early diagnosis of ectopia cordis (a congenital heart malformation) is possible in the first trimester. This condition, often linked with omphalocele or body stalk anomaly, carries a poor prognosis.

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Area of Science:

  • Medical imaging
  • Fetal medicine
  • Congenital abnormalities

Background:

  • Ectopia cordis is a rare congenital anomaly where the heart is abnormally positioned outside the chest.
  • Early diagnosis is crucial for management and counseling.
  • Associated anomalies can significantly impact outcomes.

Observation:

  • This study reviewed 7 cases of first-trimester ectopia cordis diagnoses.
  • Four cases were associated with pentalogy of Cantrell (ectopia cordis with omphalocele).
  • Two cases were linked to body stalk anomaly; one case was isolated thoracic ectopia cordis.

Findings:

  • Diagnosis of ectopia cordis is feasible using first-trimester sonography.
  • The overall perinatal mortality rate was 100% across the reviewed cases.
  • Associated anomalies, particularly pentalogy of Cantrell and body stalk anomaly, were common.

Implications:

  • First-trimester sonographic diagnosis of ectopia cordis is achievable.
  • The prognosis for ectopia cordis, especially when associated with other major anomalies, remains extremely poor.
  • These findings underscore the importance of detailed first-trimester anomaly scans for early detection and counseling.