Atallah Habib, BouSaba Camille, Daou Linda, Germanos Antoine, Kesrouani Assaad
Obstetrics and Gynecology Department, Hotel-Dieu de France Hospital, St Joseph University, Adib Ishac Street, Achrafie, Beirut, Lebanon.
Cardiopediatrics, St Joseph University, Beirut, Lebanon.
Arch Gynecol Obstet. 2018 Oct;298(4):841-842. doi: 10.1007/s00404-018-4879-1. Epub 2018 Aug 25.
We report images of the 7th case worldwide of a twin fetus with a complete isolated ectopia cordis in a dichorionic diamniotic twin gestation. There is no consanguinity, family history of abnormalities, IVF, or first trimester medication. The diagnosis of this isolated anomaly was done at 23 weeks in one fetus, while the other had normal morphology; the pregnancy was complicated by preterm labor and a cesarean delivery followed at 34 weeks. The affected baby weighed 1800 g and had an outcome complicated by episodes of desaturation and deceased at day 8. Parents did not wish either in utero termination of pregnancy or postnatal surgery for reintegration in the thorax and chose instead palliative care.
我们报告了世界上第7例双绒毛膜双羊膜囊双胎妊娠中一胎完全孤立性心脏异位的病例影像。该病例不存在近亲结婚、异常家族史、体外受精或孕早期用药情况。在孕23周时诊断出其中一胎存在这种孤立性异常，而另一胎形态正常；妊娠合并早产，孕34周时行剖宫产。患病婴儿体重1800克，结局为出现血氧饱和度下降情况并在第8天死亡。父母既不希望在子宫内终止妊娠，也不希望在出生后进行胸部复位手术，而是选择了姑息治疗。
