Vila BMA, Martínez LMN, Surí SY, Herrera MM

Language: Spanish
References: 12
Page: 393-395
PDF size: 428.31 Kb.

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.

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 5 Abr 2013];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 5 Abr 2013];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 7 jun 2011; citado 5 abr 2013]. 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 ultrasonogra-phy. Ultrasound Obstet Gynecol. 1997;10(2):137-9.

9. Carlson MB. Sistema digestivo, respiratorio y cavi-dades corporales. En: Embriología humana y biolo-gía del desarrollo. Tercera ed. Madrid: Editorial Mosby, 2009; p. 387

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

11. 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 5 Abr 2013];2(8). Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2984271/

12. 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.