Archives of Gynecology and Obstetrics

, Volume 298, Issue 4, pp 841–842 | Cite as

Prenatal diagnosis of ectopia cordis in a twin fetus

  • Habib Atallah
  • Camille BouSaba
  • Linda Daou
  • Antoine Germanos
  • Assaad Kesrouani


We report images of the 7th case worldwide of a twin fetus with a complete isolated ectopia cordis in a dichorionic diamniotic twin gestation. There is no consanguinity, family history of abnormalities, IVF, or first trimester medication. The diagnosis of this isolated anomaly was done at 23 weeks in one fetus, while the other had normal morphology; the pregnancy was complicated by preterm labor and a cesarean delivery followed at 34 weeks. The affected baby weighed 1800 g and had an outcome complicated by episodes of desaturation and deceased at day 8. Parents did not wish either in utero termination of pregnancy or postnatal surgery for reintegration in the thorax and chose instead palliative care.


Ectopia cordis Fetal Management Ultrasound Twins 


Author contributions

AK: Conceptualization; writing; review and editing. HA: Investigation; writing—original draft. CB: Investigation; resources. LD: Methodology; resources. AG: Writing—review and editing.


No funding is to be reported.

Compliance with ethical standards

Conflict of interest

All authors declare having no conflict of interest and no financial disclosure to be made.

Research involving human participants and/or animals

This study involving human participants is approved by our institution’s ethics committee in accordance with the 1964 Helsinki declaration and its later amendments and is registered under the number CE-HDF 1038.

Informed consent

Informed consent was obtained from all individual participants included in the study (parents of the baby).

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Obstetrics and Gynecology Department, Hotel-Dieu de France HospitalSt Joseph UniversityBeirutLebanon
  2. 2.CardiopediatricsSt Joseph UniversityBeirutLebanon
  3. 3.Obstetrics and Gynecology DepartmentSt Joseph HospitalDoraLebanon

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