The importance of designing a protector for a preterm and low birth weight infant with ectopia cordis

Author:

Mukai Takeo1ORCID,Ito Atsushi1,Shitara Yoshihiko1ORCID,Kashima Kohei1,Kobayashi Mika2,Shiraga Kazuhiro1,Takazawa Shinya3,Takahashi Naoto1

Affiliation:

1. Department of Pediatrics The University of Tokyo Hospital Tokyo Japan

2. Department of Rehabilitation Medicine The University of Tokyo Hospital Tokyo Japan

3. Department of Pediatric Surgery The University of Tokyo Hospital Tokyo Japan

Abstract

Key Clinical MessageEctopia cordis is a rare condition with expected low survival rate based on past studies. We encountered a case of a preterm and low birth weight infant with ectopia cordis. When the infant cried, the prolapse of the heart, liver, and intestinal tract worsened. A pressure‐applying protector was used to protect the organs and reduce the prolapse. Upon application, the infant's tachypnea and desaturation worsened. Fluoroscopic examination suggested that the pressure from the prolapsed regions was impeding pulmonary expansion and negatively affecting circulation. It is essential to carefully design a protector that accommodates the infant's growth.

Funder

Japan Society for the Promotion of Science

Publisher

Wiley

Subject

General Medicine

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