Sternal Cleft and Pectus Excavatum: A Combined Approach for the Correction of a Complex Anterior Chest Wall Malformation in a Teenager.

Abstract

Congenital sternal cleft is a rare chest wall malformation. Because of the flexibility of the chest in infants, surgical repair should be performed by primary closure in the neonatal period. In adolescents and adults, different techniques have been suggested to overcome the lack of sternal bone tissue. We describe a very rare case of an 18-year-old woman with a complete bifid sternum associated with pectus excavatum for whom a satisfactory cosmetic and functional result was obtained by adequate surgical planning, which entailed a combination of two standardized surgical techniques.

• Authors: Francesca Tocchioni, Marco Ghionzoli, Roberto Lo Piccolo, Diana E Deaconu, Flavio Facchini, Jose R Milanez De Campos, Antonio Messineo
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 99 Issue 6 Pg. e131-5 (Jun 2015) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 26046903 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Abnormalities, Multiple
• Adolescent
• Female
• Follow-Up Studies
• Funnel Chest (diagnostic imaging, surgery)
• Humans
• Musculoskeletal Abnormalities (diagnostic imaging, surgery)
• Sternum (abnormalities, diagnostic imaging, surgery)
• Thoracic Wall (abnormalities)
• Thoracoplasty (methods)
• Tomography, X-Ray Computed