title: A Rare Case Report of Thoracic Ectopia Cordis: An Obstetrician's Point of View in Multidisciplinary Approach.
abstract: Ectopia cordis is a rare congenital anomaly associated with the heart positioned outside of the thoracic cavity either partially or completely. It can be associated with other congenital abnormalities. Overall, the prognosis for infants with ectopia cordis is very poor but depends greatly on the type and severity of ectopia cordis and intracardiac and associated malformations. We present one case of a fetus with prenatally diagnosed thoracic ectopia cordis with intracardiac defects and omphalocele, all the abnormalities seen in pentalogy of Cantrell except a diaphragmatic defect. Considering poor prognosis for fetus, conservative management of prenatal care has been chosen. At the 42nd gestational week, during the active stage of labor, due to fetal distress, cesarean section was performed at a tertiary level hospital. The condition of the infant was impairing rapidly and the newborn succumbed within 24 hours. We discuss the perinatal care concerning this rare anomaly.
authors.affiliation: Clinic of Obstetrics and Gynecology, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Diana
authors.identifier: 0000-0003-1481-3558
authors.initials: D
authors.lastname: Ramasauskaite
authors.affiliation: Clinic of Obstetrics and Gynecology, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Vilija
authors.identifier: 0000-0002-3702-5936
authors.initials: V
authors.lastname: Snieckuviene
authors.affiliation: Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Viktorija
authors.initials: V
authors.lastname: Zitkute
authors.affiliation: Clinic of Children's Diseases, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Ramune
authors.identifier: 0000-0002-4220-9713
authors.initials: R
authors.lastname: Vankeviciene
authors.affiliation: Clinic of Obstetrics and Gynecology, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Dalia
authors.initials: D
authors.lastname: Lauzikiene
authors.affiliation: Clinic of Obstetrics and Gynecology, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.
authors.forename: Grazina
authors.identifier: 0000-0002-9123-7374
authors.initials: G
authors.lastname: Drasutiene