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A full term female baby of 2.3 kg was born to a Gravida I Para 0, 22-years- old mother on June12, 2006. She was brought to us one hour after birth. The pregnancy and hospital delivery were uneventful. There was no history of infection, intake of any teratogens, drugs or exposure to radiation, etc. in antenatal period. Clinical examination revealed peripheral cyanosis with heart rate of 146/min and respiratory rate of 48/min. Her heart was lying outside the thoracic cavity and apex of the heart was pointing anterio -superiorly . The heart had pericardial covering and coronary and few great vessels could be seen [Figure 1]. She also had associated right­sided complete cleft lip and cleft palate, cystic hygroma at right side neck of 4 x 3 cm in size. Syndactyly of little, ring, and middle fingers of right hand also present [Figure 2]. Investigations revealed no diaphragmatic hernia. After mobilization of skin around the heart, it was easily reposited within the thoracic cavity and skin closure was done. She died 2 hours after operation due to cardiac arrest. W e presumed that our patient also had intrinsic cardiac defects, echocardiography nor post-mortem examination was done.

Ectopia cordis thoracalis with cystic hygroma, syndactyly and cleft lip and cleft palate