Ectopia cordis: autopsy findings in four cases.

Ectopia cordis (EC) is a rare congenital malformation characterized by the abnormal position of the heart outside the thorax. Since it is often associated with intracardiac anomalies, an adequate surgical approach requires a precise knowledge of the intra- and extracardiac morbid anatomy. We report 4 cases of EC with a detailed description of intracardiac findings at autopsy. The associated malformations were severe and aggravated the outcome. Intracardiac anomalies are sometimes mild, but can be associated with a severe extracardiac defect.