Buenrostro-Zaragoza G, Angulo-Castellanos E, Serra-Ruiz L, López-Vargas L, Celis-Pérez R, Peregrina-Sandoval TJ

Language: Spanish
References: 15
Page: 376-380
PDF size: 181.79 Kb.

ABSTRACT

Introduction. The pentalogy of Cantrell is a infrequent congenital syndrome. There are 90 cases reported in the literature, described by Cantrell-Heller-Ravitch and characterized by hernia of the anterior diaphragm, omphalocele, diaphragmatic pericardium, congenital heart defect and in the lower sternum.
Case report. Female newborn delivered at term, product of the 4th pregnancy from a 36 year-old mother with history of smoking and alcoholism, asthma treated with salbutamol during pregnancy, urogenital tract infection treated, preeclampsia in the 4th month of gestation non-treated. Diagnosis by ultrasound at 35.2 weeks of pregnancy of omphalocele and ectopia cordis; abdominal delivery of the newborn with the defects described above, associated with intracardiac lesions: pulmonary atresia, vascular transposition, ventricular septal defect and atrial septal defect. The infant died on the 5th day.
Conclusion. The survival rate in cases reported in literature is rare and depends on the complexity of the cardiac defect.

REFERENCES

1. Hernández-Castro F, Cortés-Flores R, Ochoa-Torres MA, Hernández-Herrera RJ, Luna-García S. Diagnóstico prenatal de la pentalogía de Cantrell concomitante con labio y paladar hendido, reporte de un caso. Ginecol Obstet Mex. 2006; 74: 546-50.

2. Soria-López JA, Guzmán-López A, Hernández-León I, Gómez-Puente VM, Ramírez-Ley C, Saldívar-Rodríguez D, et al. Presentación y discusión de un paciente con pentalogía de Cantrell. Rev Cubana Obstet Ginecol. (Series en Internet) [Citado en mayo 2004] 30: [aproximadamente 5 p.]. Disponible en: http:bvs.sld.cu.revistas/vol30_2_04/gin05204.htm.

3. Asian A, Karaguzei G, Unal I, Aksoy N, Melikoglu M. Two rare of the pentalogy of Cantrell or its variants. Core J. 2004; 31: 85-7.

4. Dilek U, Saime K, Esin S, Sevil G, Nur S. An infant with pentalogy of Cantrell and limb defects diagnosed prenatally. Clin Dysmorphol. 2004; 13: 57-8.

5. McMahon CJ, Taylor MD, Cassady CI, Olutoye OO, Bezold LI. Diagnosis of pentalogy of Cantrell in the fetus using magnetic resonance imaging and ultrasound. Pediatr Cardiol. 2007; 28: 172-5.

6. Toyama WM. Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, review of the syndrome. Pediatrics. 1972; 50: 778-92.

7. Opitz JM, Zanni G, Reynolds JF, Gilbert-Barness E. Defects of blastogenesis. Am J Med Genet. 2002; 115: 269-86.

8. Bonilla MF, Machado LE. Abdominal wall defects-two versus three-dimensional ultrasonographic diagnosis. J Ultrasound Med. 2000; 20: 374-84.

9. Grethel EJ, Hornberger LK, Farmer DL. Prenatal and postnatal management of a patient with pentalogy of Cantrell and left ventricular aneurysm: A case report and literature review. Core J. 2007; 22: 269-73.

10. Halbertsma-Feico J, van Oort A, Der-Staak FV. Cardiac diverticulum and omphalocele: Cantrell’s pentalogy or syndrome. Cardiol Young. 2002; 12: 71-4.

11. Song A, McLeary MS. MR imaging of pentalogy of Cantrell variant with an intact diaphragm and pericardium. J Ultrasound Med. 2001; 30: 638-9.

12. Cordoni G, Schlindwein S, Granero L, Goncalves LF. Pentalogy of Cantrell early diagnosis a 9 weeks. The fetus net [series en el Internet]. [Citado 2002 Aug] [Aproximadamente 5 p.]. Disponible en: http:/www.thefetus.net/page.php?id=995.

13. Wheeler DS, Louis JD. Pentalogy of Cantrell associated with hypoplastic left heart syndrome. Pediatr Cardiol. 2007; 28: 311-3.

14. Moreno VA, Olmedo S, Camargo E. Pentalogía de Cantrell: caso clínico. Rev Niño Panam. 2005; 21: 73-7.

15. Bittmann S, Ulus H, Springer A. Combined pentalogy of Cantrell with tetralogy of Fallot, Gallbladder agenesis, and polysplenia: A case report. J Pediatr Surg. 2004; 39: 107-9.