Upper Sternal Cleft With a Complex Congenital Heart Defect: Repair in a Single Stage.

Abstract

Sternal clefts are extremely rare in association with complex congenital heart defects, and their management can be challenging. Complete surgical repair in early infancy, of both anomalies in a single stage, is advocated. Different surgical techniques exist for isolated sternal cleft repair, but they do not consider the difficulties of combining sternal defect closure and a cardiac operation with the unavoidable postoperative cardiac edema. We describe a successful surgical technique to repair a sternal cleft in a 3-month-old infant in a concomitant cardiac operation using an absorbable polyglactin 910 mesh plate and sternal osseous autografting to avoid postoperative cardiac distention.

• Authors: Mohammed Al-Yamani, Frederic Lavrand, Jean-Benoit Thambo, François Roubertie
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 101 Issue 2 Pg. 760-2 (Feb 2016) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 26777935 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Abnormalities, Multiple (surgery)
• Cardiac Surgical Procedures (methods)
• Heart Defects, Congenital (complications, surgery)
• Humans
• Infant
• Male
• Musculoskeletal Abnormalities (complications, surgery)
• Orthopedic Procedures (methods)
• Sternum (abnormalities, surgery)