This is an incredible case of ectopia cordis and omphalocele in a single case! The video shows the heart breathing outside the chest cavity, a condition called Ectopia cordis. This results from a failure of proper maturation of midline mesoderm and ventral body wall formation during embryonic development. The ectopic heart might be found in different anatomical locations such as neck, chest, or abdomen. In most cases, such as the one shown, the heart protrudes outside the chest through a split sternum. Omphalocele is a rare abdominal wall defect in which the intestines protrude through a hole is in the middle of the abdomen, right where the belly button would be. The intestines are covered only by a thin layer of tissue and can be easily seen. It is a type of hernia. The muscles in the abdominal wall (umbilical ring) do not close properly. As a result, the intestine remains outside the abdominal wall. In addition, these babies are often diagnosed with ascites, pleural effusions, a diahragmatic hernia and ventricular septal defect. The poor prognosis in such cases is related to the other associated malformations, complex cardiac abnormalites or difficulty returning the heart back into a small thoracic cavity.