Ectopia cordis (EC) is an extremely rare congenital abnormality. It manifested as herniation of the heart outside the thorax covered with or without the skin. 

The prevalence of EC is about 5.5–7.9 per million live births. Most of which died within a few days or weeks if they did not have a surgical intervention. With surgical intervention, the patient can live for a few months or years. The first case report of this entity was back in 1706.

This is the first case for a patient with EC who lives until adulthood without surgical intervention. In the end, unfortunately, the patient died because of COVID-19 pneumonia, not because of the congenital abnormality itself ¹.

Informed consent has been obtained from the family.