Thoracic ectopia cordis in a human embryo of eight weeks

Authors

  • María A. Vila Bormey
  • María N. Martínez Lima
  • Yanely Surí Santos
  • Manuela Herrera Martínez

Abstract

Defects of the ventral body wall occur in the thorax, abdomen and pelvis, and when they affect the thoracic region, with total or partial displacement of the heart outside the cavity, they give rise to thoracic ectopia cordis. The case of a human embryo of 22 mm skull-spine, week 8, stage 21 of embryonic development according to Carnegie, from voluntary abortion with misoprostol, is presented. As abnormal feature, in the external morphological examination the presence of an exposed cardiac apex in the ventral region of the chest was noted, which led to the diagnosis of thoracic ectopia cordis. The morphological study of aborted embryonic specimens may reveal developmental abnormalities that are not usually diagnosed due to the smallness of the product and the precocity of the loss.

Downloads

Download data is not yet available.

References

1. Sadler TW. Cavidades corporales. En: Lagman: Embriología médica con orientación clínica. 11na ed. Buenos Aires: Editorial Lippincott, 2010; p. 156

2. Piloña Ruíz S, Vara Cuesta OL, Llabona Chávez V, Rodríguez JJ, Pérez Lorenzo YB. Síndrome Toraco-abdominal. Presentación de un caso. Rev Cienc Méd Pinar del Río [Internet]. 2007 [Citado 2013 Abr 5];11(1). Disponible en:

http://publicaciones.pri.sld.cu/rev-fcm/rev-fcm11-1/rev-fcm11-1-8.htm

3. Valdés Valdés A, Pérez Núñez HM, García Rodríguez

RE, López Gutiérrez A. Celoma, mesenterio y pared corporal del cuerpo. En: Embriología humana. La Habana: Editorial Ciencias Médicas, 2010; p. 158.

4. Morales JM, Patel SG, Duff JA, Villareal RL, Simpson JW. Ectopia cordis and other midline defects. Ann Thorac Surg. 2000;70(1):111-4.

5. Lubala TK, Mutombo AM, Katamea T, Lubala N, Munkana AN, Kabuya MS, et al. Sporadic thoracic ectopia cordis: clinical description of a case. Pan Afr Med J [Internet]. 2012 [Citado 2013 Abr 5];13. Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549449/

6. Moore P. El aparato cardiovascular. En: Embriología clínica. 7ma ed. España: Ediciones Elsevier; 2004. p. 354.

7. Embryonic Development [Internet]. Australia: The University of New South Wales; 2011 [actualizado 2011 Jun 7; citado 2013 Abr 5]. Disponible en:

http://php.med.unsw.edu.au/embryology/index.php?title=Embryonic_Development#Carnegie_Stages_2

8. Liang RI, Huang SE, Chang FM. Prenatal diagnosis of ectopia cordis at 10 weeks of gestation using two-dimensional and three-dimensional ultrasonography. Ultrasound Obstet Gynecol. 1997;10(2):137-9.

9. Carlson MB. Sistema digestivo, respiratorio y cavidades corporales. En: Embriología humana y biología del desarrollo. Tercera ed. Madrid: Editorial Mosby, 2009; p. 387

10. Quiroga H. Ectopia Cordis: Diagnóstico ecográfico en el segundo trimestre de la gestación. Rev Chil Obst Ginecol. 2004;69(5):372-375.

11. Cabral TT, Giamberti A, Butera G, Frigiola A, Claude AJ. Extrathoracic heart in northern Cameroon: a case report. Pan Afr Med J [Internet]. 2009 [Citado 2013 Abr 5];2(8). Disponible en:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2984271/

12. Di Spiezio Sardo A, Paladini D, Zizolfi B, Spinelli M, Nappi C. Pentalogy of cantrell: embryofetoscopic diagnosis. J Minim Invasive Gynecol. 2013;20(2): 248-51.

Published

2013-10-04

How to Cite

1.
Vila Bormey MA, Martínez Lima MN, Surí Santos Y, Herrera Martínez M. Thoracic ectopia cordis in a human embryo of eight weeks. CorSalud [Internet]. 2013 Oct. 4 [cited 2025 Jul. 2];5(4):393-5. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/479

Issue

Section

CASE REPORTS