Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2019 / Cilt: 27 - Sayı: 4

Surgical repair of a sternal cleft malformation

Sternal kleft malformasyonunun cerrahi onarımı

Pages
597–600
Publication Date
2022-09-02
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this article, we present a two-month-oldfemale patient with a superior V-shaped sternal cleft, which wassuccessfully corrected with posterior periosteal flap, slidingchondroplasty and cartilage graft interposition techniques.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Sternal cleft is a unique congenital chest wall malformation thatresults from failure of sternal fusion early in the embryologicaldevelopment.
📊
Key Findings & Data:Surgical correction is advised both to protectmediastinal structures and to restore respiratory dynamics.Early surgical correction, preferably in the neonatal period,is r ecommended i n o rder t o b enefit f rom t he e lasticity o f t hethoracic cage.
💡
Conclusion & Impact:In this article, we present a two-month-oldfemale patient with a superior V-shaped sternal cleft, which wassuccessfully corrected with posterior periosteal flap, slidingchondroplasty and cartilage graft interposition techniques.
🔬Design:Lab & Field Experiment
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Sternal cleft is a unique congenital chest wall malformation thatresults from failure of sternal fusion early in the embryologicaldevelopment. Surgical correction is advised both to protectmediastinal structures and to restore respiratory dynamics.Early surgical correction, preferably in the neonatal period,is r ecommended i n o rder t o b enefit f rom t he e lasticity o f t hethoracic cage. In this article, we present a two-month-oldfemale patient with a superior V-shaped sternal cleft, which wassuccessfully corrected with posterior periosteal flap, slidingchondroplasty and cartilage graft interposition techniques.

Özet

Sternal kleft, embriyolojik gelişimin başlarında sternal füzyonun başarısızlığından kaynaklanan, nadir görülen, doğumsal bir göğüs duvarı malformasyonudur. Cerrahi düzeltme hem mediastinal yapıları korumak hem de solunum dinamiklerini yeniden sağlamak için tavsiye edilir. Göğüs kafesinin esnekliğinden faydalanmak için tercihen yenidoğan döneminde erken cerrahi düzeltme önerilir. Bu yazıda, posterior periosteal flep, sliding kondroplasti ve kıkırdak greft interpozisyonu teknikleriyle başarılı bir şekilde düzeltilmiş, V şeklinde sternal klefti olan iki aylık bir kız hasta sunuldu.

🔖

Cite This Article

Doğan, R., Kumbasar, U., Bayrakçı, B., Uysal, S., Kesici, S. (2022). Surgical repair of a sternal cleft malformation. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 27 - Sayı: 4, 597–600. https://ajindex.com/articles/423787

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Engum SA. Embryology, sternal clefts, ectopia cordis, and Cantrell's pentalogy. Semin Pediatr Surg 2008;17:154-60
  2. Torre M, Rapuzzi G, Carlucci M, Pio L, Jasonni V. Phenotypic spectrum and management of sternal cleft: literature review and presentation of a new series. Eur J Cardiothorac Surg 2012;41:4-9
  3. Luthra S, Dhaliwal RS, Singh H. Sternal cleft--a natural absurdity or a surgical opportunity. J Pediatr Surg 2007;42:582-4
  4. Yamanaka K, Higuma T, Watanabe K, Okada Y, Ichida F, Yoshimura N. Congenital sternal cleft. J Pediatr Surg 2012;47:2143-5
  5. Daum R, Zachariou Z. Total and superior sternal clefts in newborns: a simple technique for surgical correction. J Pediatr Surg 1999;34:408-11. 6. de Campos JR, Das-Neves-Pereira JC, Velhote MC, Jatene FB. Twenty seven-year experience with sternal cleft repair. Eur J Cardiothorac Surg 2009;35:539-41
  6. Dumitrescu A, Ryan CA, Green A. Sternal cleft malformation in a newborn. BMJ Case Rep. 2017;2017. 8. de Campos JR, Filomeno LT, Fernandez A, Ruiz RL, Minamoto H, Werebe Ede C, et al. Repair of congenital sternal cleft in infants and adolescents. Ann Thorac Surg 1998;66:1151-4
  7. Fokin AA. Thoracic defects: cleft sternum and Poland syndrome. Thorac Surg Clin 2010;20:575-82
  8. Acastello E, Majluf R, Garrido P, Barbosa LM, Peredo A. Sternal cleft: a surgical opportunity. J Pediatr Surg 2003;38:178-83
  9. Héron D, Lyonnet S, Iserin L, Munnich A, Padovani JP. Sternal cleft: case report and review of a series of nine patients. Am J Med Genet 1995;59:154-6
  10. Chang T, Qian Y, Tang S, Dai K, Sun B, Jin R. Sternal cleft and ectopia cordis: a case report. Chin Med J (Engl) 1999;112:188-90
  11. Klein T, Kellner M, Boemers TM, Mack-Detlefsen B. Surgical Repair of a Superior Sternal Cleft in an Infant. European J Pediatr Surg Rep 2015;3:64-7
  12. Snyder BJ, Robbins RC, Ramos D. Primary repair of complete sternal cleft with pectoralis major muscle flaps. Ann Thorac Surg 1996;61:983-4
  13. Muthialu N. Primary repair of sternal cleft in infancy using combined periosteal flap and sliding osteochondroplasty. Interact Cardiovasc Thorac Surg 2013;16:923-5
  14. Yavuzer S, Kara M. Primary repair of a sternal cleft in an infant with autogenous tissues. Interact Cardiovasc Thorac Surg 2003;2:541-3
  15. Singh S, Lahoti BK, Garge S, Negi A, Jain V. Sternal cleft repair: a report of two cases and review of literature. Afr J Paediatr Surg 2010;7:211-3
  16. Torre M, Rapuzzi G, Guida E, Costanzo S, Jasonni V. Thymectomy to