Baeza-Herrera C, Escobar-Izquierdo MA, García-Cabello LM, Sánchez-Magaña L, Nájera-Garduño HM

Language: Spanish
References: 30
Page: 673-676
PDF size: 373.77 Kb.

ABSTRACT

Background: in 1958, Cantrell et al. described a rare syndrome in neonates. The description of the syndrome was characterized by a midline supraumbilical defect encompassing a thoracoabdominal omphalocele and ectopia cordis, a defect of the lower sternum, ventral diaphragmatic and pericardial defects, and other congenital cardiac anomalies.
Clinical cases: 4 neonates with the uncommon Cantrell’s pentalogy were seen in our hospital within a 5-year period without having any apparent factor in common. This paper describes the clinical course and surgical correction.
Conclusions: early detection of these anomalies is very important for the diagnosis and surgical planning, and subsequently for prognostic implications.

REFERENCES

1. Groner JI. Ectopia cordis and sternal defects. En: Ziegler MM, Azizkhan RG, Weber TR, editors. Operative pediatric surgery. New York, US: McGraw Hill; 2003. p. 280-283.

2. Cantrell JR, Haller JA, Ravitch MM. Syndrome of congenital defects involving the abdominal wall, sternum, diaphgram, pericardium and heart. Surg Gynecol Obstet 1958;107:602.

3. 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;28:172-175.

4. Spencer R, Robichaux WH, Superneau DW, Lucas VW. Unusual cardiac malformations in conjoined twins: thoracopagus twins with conjoined pentalogy of Cantrell and an omphalocele twin with atretic ventricles. Pediatr Cardiol 2002;23:631-638.

5. Fernandes ET, Wreen EL, Custer MD. A new technique for the repair of large pericardial defects in a patients with pentalogy of Cantrell. Pediatr Surg Int 1990;5:77-78.

6. Wheler DS, St Louis JD. Pentalogy of Cantrell associated with hypoplastic left heart syndrome. Pediatr Cardiol 2007;28:311-313.

7. Herrera R, Medina C. Ectopia cordis toracoabdominal. Arch Inst Cardiol Mex 1962;32:79-85.

8. Song A, Mcleary MS. MR imaging of pentalogy of Cantrell variant with intact diaphgram and pericardium. Pediatr Radiol 2000;30:638-639.

9. Baeza CH, Rodríguez RM, Osorio CI, Baeza MSH. Ectopia cordis extratorácica total debida a compresión amniótica. Presentación de un caso. Acta Ped Mex 1994;15:258-262.

10. Agrawal N, Sehgal R, Kumar R, Bhadoria P. Cantrell’s pentalogy. Anaesth Intensive Care 2003;31:120.

11. Herman ET, Siegel JM. Special imaging casebook. J Perinatol 2001;21:147-149.

12. Ulus H, Springer A. Combined pentalogy of Cantrell with tetralogy of Fallot, gallbladder agenesis and polysplenia. A case report. J Pediatr Surg 2004;39:107-109.

13. Nanda S, Nanda S, Agarwal U, Sen J, Sangwan K. Cantrell’s pentalogy- report of two cases with one atypical variant. Arch Gynecol Obstet 2003;268: 331-332.

14. Correa-Rivas SM, Matos IL, García LF. Pentalogy of Cantrell: a case report with pathologic findings. Pediatr Develop Pathology 2004;7:649-652.

15. 15 Shamberger RC. Congenital chest wall deformities. En: Grosfeld JL, O’Neill JA, Coran AG, Fonkalsrud EW, editors. Pediatric surgery. Volume I. Philadelphia: Mosby; 2006. p. 912-915.

16. Milne LW, Morosin AM, Campbell JR, Harrison MW. Pars sternalis diaphragmatic hernia with omphalocele: Report of two cases. J Pediatr Surg 1990;25:726-730.

17. Shamberger RC, Welch KJ. Sternal defects Pediatr Surg Int 1990;5:156-164. 1990;25:726-730.

18. Song A, McLeary SM. MR imaging of pentalogy of Cantrell variant with an intact diaphragm and pericardium. Pediatr Radiol 2000;30:638-639.

19. Mulder GD, Crittenden IH, Adams HF. Complete repair of a syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium and heart; excision of left ventricular diverticulum. Ann Surg 1960;151:113-122.

20. Sabinston DC. The surgical management of congenital bifid sternum with partial ectopia cordis. J Thorac Surg 1958;35:118-122

21. Jewett TC, Butsch WL, Hug HR. Congenital bifid sternum. Surgery 1962;54:932-936

22. Dobell ARC, William HB, Long RW. Staged repair of ectopia cordis. J Pediatr Surg 1982;17:352-358.

23. Toyama WM. Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, pericardium and heart: a case report and review of the syndrome. Pediatrics 1972;50:778-792.

24. Harrison MR, Filly RA, Stanger P, de Lorimier AA. Prenatal diagnosis and management of omphalocele and ectopia cordis. J Pediatr Surg 1982;17: 64-66

25. Siles C, Boyd PA, Manning N, Tsang T, Chamberlain P. Omphalocele and pericardial effusion: possible sonographic markers for the pentalogy of Cantrell or its variants. Obstet Gynecol 1996;87: 840-842.

26. Dane C, Dane B, Mayla M, Cetin A. Prenatal diagnosis of a case of pentalogy of Cantrell with spina bifida. J Postgrad Med 2007;53:146-147

27. Haller JA, Cantrell RJ. Diagnosis and surgical correction of combined congenital defects of supra-umbilical abdominal wall, lower sternum and diaphragm. J Thorac Cardiovasc Surg 1966;51: 286-291.

28. Firmin RK, Fragomeni LS, Lennox SC. Complete cleft sternum. Thorax 1980;35:303-306

29. Spitz L, Bloom KR, Milner S, Levin SE. Combined anterior abdominal wall, sternum, diaphragmatic, pericardial and intravascular defects: report of five cases and their management. J Pediatr Surg 1975;10:491-496.

30. Fernández MS, López A, Vila JJ, Lluna J. Cantrell’s pentalogy. Report of four cases and their management. Pediatr Radiol 1997;12:428-431.