Ectopia cordis

Case contributed by Dr Vincent Tatco

Patient Data

Age: Newborn

This is a chest radiograph of a neonate with ectopia cordis.  The cardiac shadow appears as a midline ovoid structure surrounded by a rim of air lucency.  The clavicles are widely separated. 

Case Discussion

Ectopia cordis is a rare congenital defect in fusion of the anterior chest wall resulting to extrathoracic location of the heart. It may occur as an isolated malformation or can be associated with a larger category of ventral body wall defects that affect the thorax, abdomen or both. Imaging clues of ectopia cordis on frontal chest radiograph include abnormal cardiac position (usually midline) and configuration, air lucency surrounding the ectopic heart, sternal defect, wide separation of the sternal ends of the clavicles and widening of the superior mediastinum.  Lateral view may confirm the extrathoracic location of the heart.

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Case information

rID: 41893
Published: 24th Dec 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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