scholarly journals Early diagnosis of Cantrell’s Pentalogy in a newborn baby

2020 ◽  
Vol 23 (3) ◽  
pp. 204-207
Author(s):  
Nataliya A. Kharitonova ◽  
Milana A. Basargina ◽  
Khadizhat S. Evloeva
Keyword(s):  
Early Diagnosis ◽  
Left Ventricle ◽  
First Trimester ◽  
Local Defect ◽  
Timely Manner ◽  
Intravenous Contrast ◽  
Pentalogy Of Cantrell ◽  
Anterior Section ◽  
Cantrell's Pentalogy ◽  
Apical Section

A clinical case of early diagnosis of Pentalogy of Cantrell (POC) in a newborn infant is presented. The features of the formation of the defect and its classification are described. A crucial role in verifying the diagnosis was performed by CT scan with intravenous contrast, which revealed a narrowing of the pulmonary artery trunk; located subcutaneously above the umbilical ring, the diverticulum of the left ventricle of the heart, originating from the apical section of the left ventricle and connected to its cavity by a linear isthmus located along the middle line, as well as a local defect of the diaphragm in the anterior section. Taking into account the accumulated experience, it is generally recognized that when establishing this diagnosis in the first trimester, termination of pregnancy is more preferable. Therefore, parents should be notified of a possible adverse outcome in a timely manner. The presented observation reflects the high importance of early diagnosis of congenital forms of combined pathology in children, requiring the use of modern research methods to determine the tactics and conduct timely effective treatment.

Prenatal sonographic diagnosis of Cantrell's pentalogy with cystic hygroma in the first trimester

1998 ◽  
Vol 26 (8) ◽  
pp. 409-412 ◽  
Author(s):  
Yao-Yuan Hsieh ◽  
Chien-Chung Lee ◽  
Chi-Chen Chang ◽  
Horng-Der Tsai ◽  
Tai-Yen Hsu ◽  
...  
Keyword(s):  
First Trimester ◽  
Cystic Hygroma ◽  
Sonographic Diagnosis ◽  
Cantrell's Pentalogy

P07.01: Incomplete pentalogy of Cantrell during the first trimester of pregnancy: a case report

2011 ◽  
Vol 38 (S1) ◽  
pp. 190-190
Author(s):  
B. De Keersmaecker ◽  
A. Segaert ◽  
V. Dewulf ◽  
B. Denys ◽  
J. Thys
Keyword(s):  
Case Report ◽  
First Trimester ◽  
Pentalogy Of Cantrell ◽  
First Trimester Of Pregnancy

Pentalogy of Cantrell with a double-outlet left ventricle

Pathology ◽  
2005 ◽  
Vol 37 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Thomas P. Thamboo ◽  
Norman H. L. Chan
Keyword(s):  
Left Ventricle ◽  
Pentalogy Of Cantrell

scholarly journals What is the Survival Rate in Prenatally Detected Cantrell’s Pentalogy?

2016 ◽  
Vol 6 (1) ◽  
pp. 31-36
Author(s):  
Katarzyna Pośpiech-Gąsior ◽  
Maciej Słodki ◽  
Maria Respondek-Liberska
Keyword(s):  
Prenatal Diagnosis ◽  
Survival Rate ◽  
First Trimester ◽  
Anterior Chest Wall ◽  
Ectopia Cordis ◽  
Anatomical Structures ◽  
Neonatal Deaths ◽  
Dismal Prognosis ◽  
Cantrell's Pentalogy ◽  
First Trimester Of Pregnancy

Abstract Cantrell’s pentalogy is a congenital defect characterized by uncompleted fusion of the anterior chest wall, resulting in an extrathoracic location of the heart. Ultrasound diagnosis during the first trimester of prenatal life is possible, and termination of pregnancy is usually chosen by pregnant women. We analysed 57 fetuses: 56 from literature and one additional recent case from our institute (from 2016) to evaluate what was the survival rate reported after prenatal diagnosis, including the possibility to terminate the pregnancy, intrauterine deaths and neonatal deaths. We found 10 survivors - 18% since 1984. Despite dismal prognosis of fetal ectopia cordis, there is a chance for postnatal survivorship probably due to evolving anatomical structures, not only in the first trimester of pregnancy but also during the following weeks of prenatal life.

scholarly journals Cantrell syndrome in the first trimester of pregnancy: imagistic findings and literature review

2020 ◽  
Vol 22 (2) ◽  
pp. 189 ◽  
Author(s):  
Mihaela Grigore ◽  
Romeo Micu ◽  
Roxana Matasariu ◽  
Odetta Duma ◽  
Anca Lucia Chicea ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rare Condition ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Wall Region ◽  
Pentalogy Of Cantrell ◽  
Congenital Birth Defects ◽  
First Trimester Of Pregnancy ◽  
Us Findings ◽  
Increased Nuchal Translucency

Pentalogy of Cantrell (POC) is a rare condition characterized by complete or partial expression of 5 types of congenital birth defects originating in (1) the lower sternum, (2) the anterior diaphragm, (3) the diaphragmatic pericardium, (4) the midline/ventral supraumbilical abdominal wall region, and (5) the heart. POC can be diagnosed antenatally by means of ultrasonography (US), the task being difficult if defects are minor. Advances in the field of US and the introduction of the first morphology trimester as state-of-the-art pregnancy monitoring, facilitate the early diagnosis of this condition. We performed a systematic review on 67 reported cases of POC diagnosed in the first trimester of pregnancy (published from January 1980 to July 2019). The aim of our systematic review was twofold: to assess the main US findings in the first trimester of pregnancy and to increase awareness of early diagnostic possibilities. Our study showed that POC can be diagnosed in the first trimesterof pregnancy based on key US findings such as the association between omphalocele and ectopia cordis. When these two anomalies are present, increased nuchal translucency can also be considered a marker of POC in the first trimester.

scholarly journals Pentalogy of Cantrell diagnosed in the first trimester of pregnancy

2013 ◽  
Vol 5 (3) ◽  
pp. 215 ◽  
Author(s):  
Yasemin Cekmez ◽  
Tülay Tos ◽  
Zehra Yilmaz ◽  
Nilay Pişkinpaşa ◽  
Tuncay Küçüközkan
Keyword(s):  
First Trimester ◽  
Pentalogy Of Cantrell ◽  
First Trimester Of Pregnancy

COMORBIDADES ASSOCIADAS A MOLA HIDATIFORME: COMO DIAGNOSTICAR E TRATAR

2018 ◽  
Vol 5 (3) ◽  
pp. 68-74
Author(s):  
Isabela Borges Corrêa ◽  
Mariana Rocha Machado de Carvalho ◽  
Nayara Pettine Dias Soares ◽  
Hanna Helena Lopes ◽  
Luciana Zenóbio Quadra Vieira dos Santos
Keyword(s):  
Early Diagnosis ◽  
Hydatidiform Mole ◽  
First Trimester ◽  
Gestational Trophoblastic Disease ◽  
Diagnosis And Treatment ◽  
Uterine Perforation ◽  
Vacuum Aspiration ◽  
De Se ◽  
Aspiration Technique ◽  
Life Threatening

RESUMO A mola hidatiforme é uma forma benigna da doença trofoblástica gestacional pouco frequente na gravidez e com potencial para evoluir para formas que necessitam de tratamento sistêmico e podem ameaçar a vida. As apresentações com molas de grande volume, com eliminação de vesículas e anemia, são cada vez menos frequentes devido ao uso sistemático de ultrassonografia gestacional no primeiro trimestre de gestação que permite o diagnóstico precoce. Ainda assim, raramente podem ocorrer certas complicações, como hemorragia, hipertireoidismo, pré-eclâmpsia, insuficiência respiratória e cistos ovarianos, que exigem conduta imediata e encaminhamento das pacientes para centro de referências que realizem aspiração uterina, preferencialmente, pela técnica de vácuo-aspiração, a fim de se evitar possíveis intercorrências, dentre as quais a perfuração uterina. Deve ser realizado seguimento rigoroso, sistemático e pontual para diagnóstico precoce de NTG e preservação da fertilidade das mulheres acometidas. Enfatizar os métodos de diagnóstico e tratamento das principais comorbidades associadas a mola hidatiforme é o objetivo deste estudo, que foi realizado através de uma revisão de literatura , utilizando artigos dos últimos 15 anos, nacionais e internacionais arquivados nos bancos de dados MEDLINE, BIREME, PUBMED, SciELO e Livros periódicos analisados nas biblioteca do Instituto Presidente Antônio Carlos.   Palavras-chave: Comorbidades associadas a gravidez molar. Mola hidatiforme – diagnóstico e tratamento. Neoplasia trofoblástica gestacional. ABSTRACT A hydatidiform mole is a benign form of infrequent gestational trophoblastic disease in pregnancy and it has the potential to evolve into forms that require systemic treatment and can be life-threatening. Presentations with large amounts of moles, with elimination of vesicles and anemia, are becoming less frequent due to the systematic use of gestational ultrasound in the first trimester of pregnancy that allows early diagnosis. Still, it could rarely occur certain complications, such as bleeding, hyperthyroidism, preeclampsia, respiratory failure and ovarian cysts, requiring immediate management and referral to the center of reference to perform a uterine aspiration, preferably by vacuum aspiration technique, in order to avoid possible complications, among them uterine perforation. It should be rigorous systematic and timely followed, for early diagnosis of NTG and preservation of affected women’s fertility. This paper aims to emphasize the methods of diagnosis and treatment of major comorbidities associated with hydatidiform mole. This course conclusion work was done through a literature review, using articles from the last 15 years, national and international, using the databases MEDLINE, BIREME, PUBMED, SciELO and periodicals Books analyzed in the library of the Instituto Presidente Antonio Carlos. Keywords: Comorbidities associated with molar pregnancy. Hydatidiform mole - Diagnosis and Treatment. Neoplasia gestational trophoblastic.

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