Skip to main content
Log in

Diagnosis of Pentalogy of Cantrell in the Fetus Using Magnetic Resonance Imaging and Ultrasound

  • CASE REPORT
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

We report two cases of pentalogy of Cantrell diagnosed in utero using a combination of fetal echocardiography and magnetic resonance imaging. The cardiac component consisted of tetralogy of Fallot in the first fetus and ventricular septal defect in the second fetus. Whereas fetal echocardiography allowed accurate delineation of the cardiac anatomy, prenatal magnetic resonance imaging allowed clearer delineation of the extent of the thoracic and abdominal wall defects. Fetal magnetic resonance imaging in conjunction with prenatal echocardiography allows optimal assessment of the fetus with ectopia cordis, which has significant implications from the standpoint of preoperative planning and providing prognostic information. This report represents the first description of applying magnetic resonance imaging in combination with echocardiography toward a better understanding of this clinical entity in the fetus.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Baker ME, Rosenberg ER, Trofatter KF, et al. (1984) The in utero findings in twin pentalogy of Cantrell. J Ultrasound Med 3:525–527

    PubMed  CAS  Google Scholar 

  2. Cantrell JR, Haller JA, Ravitch MM (1958) A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium and heart. Surg Gynecol Obstet 107:602–614

    PubMed  CAS  Google Scholar 

  3. Carmi R, Boughman JA (1992) Pentalogy of Cantrell and associated midline anomalies: a possible ventral midline developmental field. Am J Med Genet 42:90–95

    Article  PubMed  CAS  Google Scholar 

  4. Coakley FV, Glenn OA, Qayyum A, et al. (2004) Fetal MRI: a developing technique for the developing patient. Am J Roentgenol 182:243–252

    Google Scholar 

  5. DiBernardo S, Sekarski N, Meijboom E (2004) Left ventricular diverticulum in a neonate with Cantrell syndrome. Heart 90:1320

    Article  CAS  Google Scholar 

  6. Ghidini A, Sirtori M, Romero R, et al. (1988) Prenatal diagnosis of pentalogy of Cantrell. J Ultrasound Med 7:567–572

    PubMed  CAS  Google Scholar 

  7. Halbertsma FJ, van Oort A, van der Staak F (2002) Cardiac diverticulum and omphalocele: Cantrell’s pentalogy or syndrome. Cardiol Young 12:71–74

    Article  PubMed  Google Scholar 

  8. Hornberger LK, Colan SD, Lock JE, et al. (1996) Outcome of patients with ectopia cordis and significant intra-cardiac defects. Circulation 94:II32–II37

    PubMed  CAS  Google Scholar 

  9. Jochems L, Jacquemyn Y, Blaumeiser B (2004) Prenatal diagnosis of pentalogy of Cantrell: a case report. Clin Exp Obstet Gynecol 31:141–142

    PubMed  CAS  Google Scholar 

  10. Kawabata I, Takahashi Y, Iwagaki S, et al. (2003) MRI during pregnancy. J Perinat Med 31:449–458

    Article  PubMed  Google Scholar 

  11. Levine D (2004) Fetal magnetic resonance imaging. J Matern Fetal Neonatal Med 15:85–94

    Article  PubMed  CAS  Google Scholar 

  12. Liang RI, Huang SE, Chang FM (1997) Prenatal diagnosis of ectopia cordis at 10 weeks of gestation using two-dimensional and three-dimensional ultrasonography. Ultrasound Obstet Gynecol 10:137–139

    Article  PubMed  CAS  Google Scholar 

  13. Oka T, Shiraishi I, Iwasaki N, et al. (2003) Usefulness of helical CT angiography and MRI in the diagnosis and treatment of pentalogy of Cantrell. J Pediatr 142:84

    Article  PubMed  Google Scholar 

  14. Robson CD, Barnewolt CE (2004) MR imaging of fetal head and neck anomalies. Neuroimaging Clin North Am 14:273–291

    Article  Google Scholar 

  15. Song A, McLeary MS (2000) MR imaging of pentalogy of Cantrell variant with an intact diaphragm and pericardium. Pediatr Radiol 30:638–639

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C. J. McMahon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McMahon, C.J., Taylor, M.D., Cassady, C.I. et al. Diagnosis of Pentalogy of Cantrell in the Fetus Using Magnetic Resonance Imaging and Ultrasound. Pediatr Cardiol 28, 172–175 (2007). https://doi.org/10.1007/s00246-006-0032-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-006-0032-1

Keywords

Navigation