Pentalogy of Cantrell

The pentalogy of Cantrell is an extremely rare phenomenon with an incidence estimated at around 6 per million live births 3

It encompasses the following 5 main features 1.

  1. omphalocoele
  2. ectopia cordis (abnormal location of heart)
  3. diaphragmatic defect
  4. pericardial defect or sternal cleft
  5. cardiovascular malformations 

It is thought to result from an abnormal migration of the sternal anlage and myotomes in the early embryonic stage ( ~ 6th to 7th week of gestation).

Most cases carry a very poor prognosis

It was first described by James R Cantrell in 1958

Congenital heart disease

There is more than one way to present the variety of congenital heart diseases. Whichever way they are categorised, it is helpful to have a working understanding of normal and fetal circulation, as well as an understanding of the segmental approach to imaging in congenital heart disease.

Share article

Article information

rID: 7742
Tag: cases
Synonyms or Alternate Spellings:
  • Cantrell pentalogy
  • Thoraco-abdominal ectopia cordis
  • Cantrell-Heller-Ravitch syndrome
  • Cantrell syndrome

Support Radiopaedia and see fewer ads

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.