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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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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.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|June 17, 2024
PubMed

Insights

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.

Keywords:
Cantrell syndromeEctopia cordisSkin flap

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