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Updated: May 4, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
How do we treat severely prolapsed true ectopia cordis?
Naoki Masaki1, Hideki Tatewaki1, Takehiko Sanada2
1Department of Cardiovascular Surgery, Miyagi Children's Hospital, Sendai, Japan.
Ectopia cordis, a rare heart malformation, was successfully treated in a complex case. The treatment involved intracardiac repair and delayed sternal closure, offering a new approach for this challenging condition.
Area of Science:
- Cardiovascular Surgery
- Congenital Malformations
- Pediatric Cardiology
Background:
- Ectopia cordis is a rare congenital anomaly with the heart located outside the chest.
- Treatment is complex, particularly with associated congenital heart disease and significant protrusion.
- Surgical outcomes for ectopia cordis remain challenging.
Observation:
- A case of ectopia cordis with congenital heart disease and severe protrusion is presented.
- The patient required a multi-stage surgical approach.
- Intracardiac repair and delayed sternal closure were key components of the treatment.
Findings:
- Successful intracardiac repair of the congenital heart defect was achieved.
- Delayed sternal closure using local skin flaps was performed.
- The combined approach led to a favorable outcome in this complex case.
Implications:
- This case demonstrates a viable strategy for managing complex ectopia cordis.
- The technique of delayed sternal closure may be applicable to similar challenging cases.
- Further research into optimal surgical timing and techniques for ectopia cordis is warranted.
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