Tan Lay Ong, Lim Soo Yen, Sharif Farhana
Paediatric Department, Midland Regional Hospital, Mullingar, Ireland.
BMJ Case Rep. 2012 Nov 11;2012:bcr2012007029. doi: 10.1136/bcr-2012-007029.
Ectopia cordis is a rare congenital malformation in which the heart is located partially or totally outside the thoracic cavity. It comprises 0.1% of congenital heart diseases. The authors present a case of a male baby born at term by emergency caesarean section due to prolonged fetal bradycardia, who was noted to have a large pulsating mass in the thoracoabdominal area. In view of lower thoracolumbar abdominal defect, ectopic placement of the umbilicus, deficiency of the diaphragmatic pericardium, deficiency of anterior diaphragm and intracardiac abnormalities, a diagnosis of ectopia cordis-Pentalogy of Cantrell was made. He was transferred to a tertiary centre and required oxygen supplement initially. He was sent home after 1 week, on propanolol, with weekly oxygen saturation checks. He is awaiting further surgical intervention pending the required weight gain.
心脏异位是一种罕见的先天性畸形，心脏部分或全部位于胸腔外。它占先天性心脏病的0.1%。作者报告了一例足月男婴，因胎儿心动过缓延长行急诊剖宫产出生，发现胸腹部有一个巨大的搏动性肿块。鉴于胸腰段下部腹部缺损、脐异位、膈心包缺损、前膈缺损和心脏内异常，诊断为心脏异位-坎特雷尔五联症。他被转到一家三级中心，最初需要吸氧。1周后他出院，服用普萘洛尔，每周检查血氧饱和度。他正在等待进一步的手术干预，等待体重增加到所需水平。
