P34.10: Fetal cardiac anomaly screening in first trimester: a case report

Abstract

Poster abstracts anomalies may be associated. We present a case of ectopia cordis and toracoabdominal wall defect diagnosed in the first trimester scan. 32 year old women, with a history of a spontaneous abortion at 8 weeks with no complications. No personnel or family history of birth defects. In her first ultrasound, at 12 th weeks, we encountered a life fetus with several anomalies. The thorax was small and the heart was located anteriorly to the thoracic cavity. This malformation was associated with the absence of skull and a wall defect with extrusion of abdominal organs. Due to the poor diagnosis associated with this malformation, the patient decided to terminate pregnancy. The fetus was sent to anatomopathology that concluded the presence of polimarformations: 1. Absence of skull, 2. Toracoabdominal wall defect with ectopia cordis and omphalocele, 3. Presence of an amniotic band with isquemic lesion of one foot, 4. severe escoliosis. These were associated with amniotic band syndrome. The anomalies observed in the present case may be due to rupture of the amnion, chromosomal abnormalities or maternal disease. The anomalies found in the ultrasound did not exclude the diagnosis of Pentalogy of Cantrell. The diagnosis of amniotic band sequence was made due to the anatomopathological findings.