scholarly journals Complete Thoracic Ectopia Cordis, Dilemma of the Outcome: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Mohammed J Aboud ◽  
Mohammed J Aboud ◽  
Noor M Abudi ◽  
Haidar M Joudi ◽  
Zeena M Joudi
Keyword(s):  
Heart Diseases ◽  
Management Strategies ◽  
Anterior Chest Wall ◽  
Thoracic Cavity ◽  
Poor General Condition ◽  
Ectopia Cordis ◽  
Rare Congenital Abnormality ◽  
Congenital Condition ◽  
Optimal Evaluation ◽  
Future Management

Background: Ectopia Cordis (EC) is a rare congenital condition where the heart is partially or completely lies outside the thoracic cavity (extrathoracic), uncovered by pericardium and skin. Many works of literature reported EC is a rare congenital abnormality with an incidence of about 5-8 per 1 million live births and includes about 0.1% of congenital heart diseases. Methods: This was a male baby, weighing 2.900 kg, received with cyanosis with a defect in the anterior chest wall and heart protruding out through it. On initial physical examination, split sternum with complete thoracic EC (beating outside the thoracic cavity with a complete absence of the pericardium with the apex pointing upwards) were reported. Results: The baby’s poor general condition did not allow further radiologic studies and echocardiography could not be performed. By the time, an arrangement had been planned for him to undergo cardiothoracic referral; unfortunately, he ran a downhill course and succumbed within 36 hours of life. Conclusion: The important for submitting such findings will assist our team: pediatric surgeons, obstetricians, pediatricians and, neonatal intensivists to develop future management strategies when they are enrolled or confronted with such cases, by improving the outcome through a precise workup design to provide the optimal evaluation, diagnosis, and management roadmaps of potential cases of EC.

scholarly journals Ectopia Cordis: a Rare Congenital Condition

2018 ◽  
Vol 12 (1) ◽  
pp. 59-61
Author(s):  
Ramesh Shrestha ◽  
S Chhetri ◽  
MC Regmi ◽  
P Basnet
Keyword(s):  
Pregnancy Termination ◽  
Thoracic Cavity ◽  
Ectopia Cordis ◽  
Surgical Interventions ◽  
First Case ◽  
Congenital Condition ◽  
Parental Counseling ◽  
Failed Induction ◽  
Very High ◽  
Live Baby

Ectopia cordis is a rare congenital malformation and only few cases have been reported in literature previously. It is defined as the complete or partial evisceration of heart outside the thoracic cavity through the sternal defect. Most cases are sporadic. The classical presentation for the antenatal diagnosis on ultrasonography is a pulsating heart out of the thoracic cavity with absent chest wall.We reported three cases of ectopia cordis in the last one and half year in our institute. Two of them were diagnosed on ultrasound and the third case terminated for meningocele with severe oligohydramnios had associated ectopia cordis detected after delivery. All three were admitted via out patient department for termination. The first case live at birth had isolated thoracic ectopia cordis with birth weight of 2.4 kilograms, Apgar score of 7,8,9 and was delivered by caesarean section for failed induction while the other two were still birth and  had thoraco-abdominal ectopia cordis. The live baby was taken to Sahid Gangalal hospital in Kathmandu by the visitors after two days of delivery and the baby underwent surgical intervention but had an unsuccessful outcome. Regarding the management of this condition, parental counseling for pregnancy termination is advised. Though few cases of surgical interventions for ectopia cordis have been reported, mortality rate is still very high.

scholarly journals Ectopia cordis in an adult patient with COVID-19: A case report and literature review

2021 ◽  
Author(s):  
Kamal AL SHAMIRI ◽  
Abdulilah Albriek ◽  
Tariq Farrag ◽  
MOSTAFA AL SHAMIRI
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Adult Patient ◽  
Chest Wall ◽  
Anterior Chest Wall ◽  
Ectopia Cordis ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Congenital Condition ◽  
Cardiac Manifestations

Ectopia cordis (EC) is a rare congenital condition characterized by a partial or complete defect of the anterior chest wall. It is associated with ventricular and atrial septal defects (ASD),. This study aimed to explore the cardiac manifestations of EC complicated by coronavirus disease 2019 (COVID-19).

scholarly journals Thoracic Ectopia Cordis

2018 ◽  
Vol 37 (3) ◽  
pp. 293-295
Author(s):  
Dipak Muktan ◽  
Rupa R Singh ◽  
Nisha Keshary Bhatta
Keyword(s):  
Anterior Chest Wall ◽  
Anterior Wall ◽  
Personal History ◽  
Thoracic Cavity ◽  
Lower Segment ◽  
Fetal Ultrasound ◽  
Ectopia Cordis ◽  
Large Defect ◽  
Live Births ◽  
Lower Segment Caesarean Section

Ectopia Cordis is a rare congenital anomaly characterized by partial or complete displacement of the heart outside the thoracic cavity with an estimated incidence of 5 to 8 per million live births We report a case of a 22-year-old primigravida, unbooked and immunized woman, with no relevant family or personal history, in which the prenatal fetal ultrasound, performed at 34 weeks of gestation, revealed a defect of the anterior chest wall with exteriorization of the heart. Baby was Pre-term 34 week by date but term by modified Ballard scoring, male weighing 2.4 kg delivered by lower segment caesarean section. Baby had complete thoracic ectopia cordis with large defect in anterior wall of chest and sternum was absent.

scholarly journals Ectopia cordis

2015 ◽  
Vol 9 (2) ◽  
pp. 119-120
Author(s):  
Jahanara Arzu ◽  
Md Abu Siddique ◽  
Sajal K Banerjee ◽  
Chowdhury Meshkat Ahmed ◽  
Md Harisul Haque ◽  
...  
Keyword(s):  
Congenital Abnormality ◽  
Thoracic Cavity ◽  
Ectopia Cordis ◽  
Rare Congenital Abnormality

Ectopia cordisis characterized by partial or complete displacement of the heart out of the thoracic cavity The defect is a rare congenital abnormality, occurring in 5.5 to 7.9 per 1 million live births.University Heart Journal Vol. 9, No. 2, July 2013; 119-120

Differences in microhabitat selection patterns between a remnant and constructed landscape following management intervention

2017 ◽  
Vol 44 (3) ◽  
pp. 248 ◽  
Author(s):  
Jose W. Valdez ◽  
Kaya Klop-Toker ◽  
Michelle P. Stockwell ◽  
Loren Fardell ◽  
Simon Clulow ◽  
...  
Keyword(s):  
Aquatic Vegetation ◽  
Management Strategies ◽  
Probability Of Detection ◽  
Microhabitat Use ◽  
Microhabitat Selection ◽  
Habitat Creation ◽  
Litoria Aurea ◽  
Use Of Resources ◽  
Detection Probabilities ◽  
Future Management

Context Achieving successful conservation outcomes in habitat creation and reintroductions requires an understanding of how species use their habitat and respond to these interventions. However, few initiatives directly compare microhabitat selection between remnant and managed habitats to measure effectiveness and evaluate outcomes. Probability of detection is also rarely included in studies on microhabitat use, which may lead to erroneous conclusions if detectability varies between variables. Methods In this study, we used the endangered green and golden bell frog (Litoria aurea) to compare differences in microhabitat-use patterns in both a remnant and a constructed habitat. A detectability study was also conducted to determine detection probabilities among microhabitats. Key results Aquatic vegetation was used more than expected in both the remnant and constructed habitats, and rock piles were utilised less than expected in the constructed habitat, despite their recommendation in most habitat templates. We found that detection probabilities altered the outcomes of abundance estimates for nearly all the measured microhabitat variables. Conclusions Future management for this species should focus on providing high proportions of aquatic vegetation. Furthermore, although rock piles have been utilised greatly in past L. aurea habitat creation, placing large rocks on a managed site is expensive and time consuming. Future management initiatives may need to focus on providing smaller proportion of rocks, which would be a more appropriate use of resources. Implications With conservation management projects increasing over the next few decades, understanding habitat use before implementing strategies should be a priority as it will provide important insights and inform decision-making for optimum habitat creation and restoration. Furthermore, accounting for detectability in microhabitat use studies is essential to avoid wrong conclusions that may negatively affect the success of ecological management strategies.

Management of Tendinopathy

2009 ◽  
Vol 37 (9) ◽  
pp. 1855-1867 ◽  
Author(s):  
Jonathan D. Rees ◽  
Nicola Maffulli ◽  
Jill Cook
Keyword(s):  
Health Care Professionals ◽  
Surgical Intervention ◽  
Nonoperative Management ◽  
Management Strategies ◽  
Disease Process ◽  
Pathologic Process ◽  
Recent Developments ◽  
Tendon Surgery ◽  
Growth Factor Treatment ◽  
Future Management

Overuse disorders of tendons, or tendinopathies, present a challenge to sports physicians, surgeons, and other health care professionals dealing with athletes. The Achilles, patellar, and supraspinatus tendons are particularly vulnerable to injury and often difficult to manage successfully. Inflammation was believed central to the pathologic process, but histopathologic evidence has confirmed the failed healing response nature of these conditions. Excessive or inappropriate loading of the musculotendinous unit is believed to be central to the disease process, although the exact mechanism by which this occurs remains uncertain. Additionally, the location of the lesion (for example, the midtendon or osteotendinous junction) has become increasingly recognized as influencing both the pathologic process and subsequent management. The mechanical, vascular, neural, and other theories that seek to explain the pathologic process are explored in this article. Recent developments in the nonoperative management of chronic tendon disorders are reviewed, as is the rationale for surgical intervention. Recent surgical advances, including minimally invasive tendon surgery, are reviewed. Potential future management strategies, such as stem cell therapy, growth factor treatment, and gene transfer, are also discussed.

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