Mohamed Shereen M, Isa Hasan M, Sandhu Amarjit K
Obstetrics and Gynaecology, Salmaniya Medical Complex, Manama, Bahrain.
Arabian Gulf University, Pediatric Department, Salmaniya Medical Complex, Manama, Bahrain.
Case Rep Pediatr. 2022 Aug 22;2022:6850305. doi: 10.1155/2022/6850305. eCollection 2022.
Ectopia cordis is a rare type of malformation where the heart is not located normally. It may be partially or completely located outside the thoracic cavity and can be associated with other congenital abnormalities. It results from failure of maturation of midline mesoderm and ventral body formation during embryogenic formation. The exact etiology remains unknown. The literature review reveals the prognosis for infants with ectopia cordis is very poor. Here, we are reporting the first case of a fetus that was prenatally diagnosed with ectopia cordis that was associated with omphalocele documented in our country. Considering the poor prognosis for the fetus, conservative management during the prenatal period was chosen.
心脏异位是一种罕见的畸形类型,心脏位置不正常。它可能部分或完全位于胸腔外,并可能与其他先天性异常相关。它是由于胚胎形成过程中中线中胚层成熟失败和腹侧身体形成异常所致。确切病因尚不清楚。文献综述显示,心脏异位婴儿的预后非常差。在此,我们报告我国首例产前诊断为心脏异位并伴有脐膨出的胎儿病例。考虑到胎儿预后不良,选择了产前保守治疗。