Ectopia Cordis is a rare congenital abnormality affecting the heart wh
ich is present either totally or partially outside the thorax. Because
of associated cardiac defects, survival beyond birth is uncommon. One
such case in whom death occurred or? the 23rd post-operative day from
heart failure is described and the management and ethical considerati
ons discussed. This is the first case which has survived beyond birth
in Jamaica.