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http://dx.doi.org/10.33963/v.phj.99007DOI Listing

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Cantrell's pentalogy is a rare syndrome associated with a midline embryological defect involving a series of malformations: anomalies of the lower sternum, anterior diaphragm, heart, and anterior abdominal wall. It can be classified as complete, probable or partial, but the most important thing is to describe and understand the anomalies involved. We describe a case of a late diagnosis of Cantrell's pentalogy at 35 weeks and 5 days of pregnancy in a woman from the interior of Pará state, an Amazon Brazilian region.

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We report the case of a 45-year-old woman with pentalogy of Fallot, a severe and complicated cyanotic congenital heart disease. Congenital anomalies of pentalogy of Fallot include ventricular septal defect, right ventricular hypertrophy, saddle aorta, pulmonary ostium stenosis, atrial septal defect, and patent foramen ovale. Pentalogy of Fallot is less common than triplet and tetralogy of Fallot and can affect children's physical development.

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Pentalogy of Cantrell compiles the union of five anomalies including defects of the midline abdominal wall, lower sternum, anterior diaphragm, diaphragmatic pericardium, and any form of intra-cardiac pathology 1. The intra-cardiac defects associated commonly are ventricular septal defects, followed by atrial septal defects, Tetralogy of Fallot, and pulmonary stenosis 2. It is also a rare syndrome with an estimated incidence of 1:65,000 to 200,000 live births.

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The pentalogy of Fallot stands out as one of the rarest and most complex congenital heart defects. Pulmonary artery stenosis, a ventricular septal defect, an overriding aorta, right ventricular hypertrophy, and atrial septal communication characterize it. Due to its complexity and associated malformations, advanced imaging methods, such as cardiac CT angiography, have become essential for proper characterization.

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