This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
Cantrell pentology include all except – 
Select and explain. 
A. VSD, B. ASD, C. TOF, D. Trisomy 21
D: Trisomy 21
Answer: D: Trisomy 21 
Explanation: Pentalogy of Cantrell is named after James R. Cantrell, a pediatric surgeon . The pentalogy of Cantrell is an extremely rare phenomenon with an incidence estimated at around 6 per million live births.
It encompasses the following 5 main features.
Pericardial or distal sternal cleft
Supraumbilical omphalocele
Diaphragmatic hernia
Defect in apical pericardium causing ectopia cordia (Abnormal location of heart).
Congenital intracardiac defects (VSD, ASD, Tetralogy of fallot, Left ventricular diverticulum).