title: [Ectopia cordis: multidisciplinary approach with successful result].
abstract: Ectopia cordis is a pathology in which the heart is complete or partially outside of the thoracic cavity. It represents a challenge for the diagnosis and handling because of its high perinatal mortality. We present the first case of thoracic ectopia cordis with prenatal diagnostic (27th week), its multidisciplinary handling at Hospital de Ginecopediatria núm. 71 of the Centro Medico Nacional Adolfo Ruiz Cortines, IMSS, in Veracruz, Mexico. We communicate the case of a 24 year-old woman referred by her correspondent medical unit with the diagnosis of 23.6 weeks pregnancy with suspicion of heart malformation by ultrasound. The pregnancy was followed-up until the 38th week, when it was programmed a caesarean section. The newborn had ectopia cordis, which was treated at the moment of birth. In this article, we present pictures of the heart defect as well as its evolution. The up-to-date bibliography is revised about the medical profile and treatment. The handling of the ectopia cordis includes an appropriate prenatal diagnosis through echocardiograph, a multidisciplinary perinatal team, to program the caesarean operation, aseptic handling of the newborn, immediate correction of the wall defect with skin torn piece without trying to correct the costal grill, specific hemodynamic cares, to reprogramme a correction of associated defects.
authors.affiliation: Hospital de Ginecopediatría núm 71, IMSS, Veracruz, México. serranogomez75@hotmail.com
authors.forename: Servando Germán
authors.initials: SG
authors.lastname: Serrano Gómez
authors.forename: Marco Tulio
authors.initials: MT
authors.lastname: Bermlúez Sosa
authors.forename: Emigdio
authors.initials: E
authors.lastname: Palma Hernández
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: del Castillo Salceda
authors.forename: Otto
authors.initials: O
authors.lastname: Pinzón Muslera
authors.forename: Bernardino
authors.initials: B
authors.lastname: Hernández Cortés
authors.forename: Gustavo
authors.initials: G
authors.lastname: Méndez Machado
mesh_terms: D000328:Adult; D002585:Cesarean Section; D015150:Echocardiography, Doppler; D005260:Female; D005865:Gestational Age; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D010348:Patient Care Team; D011247:Pregnancy; D011296:Prenatal Diagnosis; D019616:Thoracic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal