A preoperative image of sternal cleft.

A preoperative image of sternal cleft.

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A complete sternal cleft is a very rare congenital anomaly causing severe respiratory compromise. Surgical reconstruction options are limited, particularly in low birth weight newborns. Herein, we report a case of low birth weight premature newborn with a complete sternal cleft and its surgical treatment.

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Context 1
... had also nutritional intolerance. A midline sternum and skin defect were noted on the anterior chest wall (Figure 1). There was a membranous skin covering the sternal defect and cardiac structures were almost visible through it. ...

Citations

... Review of the English literature regarding the patients with SC revealed only 35 cases. [2][3][4][5][6][7] Therefore, our patient is the 36 th reported case of complete SC. ...
... On the other hand, when there are no additional anomalies requiring urgent repair, surgery may be delated for several months so that the baby gains weight. [2][3][4][5] Our patient had no health problem, except for low birth weight, and was referred to our clinic when she reached normal body weight. ...
Article
Full-text available
Failed midline ventral fusion of sternal bars is the cause of complete sternal cleft, which is a rare congenital anomaly that may cause cardiopulmonary compromise. Very few cases of complete sternal cleft have been reported so far in the literature. Surgical correction is recommended to protect mediastinal structures and to restore respiratory dynamics. Herein, we present a case of complete sternal cleft in a five-month-old female infant which was repaired using patch, titanium plate, and bilateral pectoralis muscular flap.
... Sternal cleft is a rare chest wall deformity, often associated with congenital heart disease [1][2][3][4]. Both lesions require simultaneous surgery [4]. ...
... Sternal cleft is a rare chest wall deformity, with very few case reported worldwide [1][2][3]. Since the integrity of the thorax is damaged, which may affect the function of chest wall and lung, surgery is required. This deformity often associated with congenital heart disease, once confirmed, surgery should be completed at the same time [4]. ...
... This deformity often associated with congenital heart disease, once confirmed, surgery should be completed at the same time [4]. Cardiac surgery can be performed routinely through the median sternotomy, but there are two surgical methods for sternal cleft, namely, primary closure [1,2] and reconstruction [3]. Primary closure is relatively simple, whereas reconstruction requires the use of special materials, which include autologous and synthetic materials [3]. ...
Article
Full-text available
Sternal cleft is a rare thoracic deformity, often associated with congenital heart disease, which requires simultaneous treatment. There are many methods for treatment of sternal cleft, the early effect may be satisfactory, but the late effect is rarely reported. We performed a simultaneous operation on a patient with sternal cleft and ventricular septal defect, but the patient developed secondary depression deformity after the operation. We used Wang procedure to correct it and got satisfactory results.