Congenital cleft sternum

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Congenital cleft sternum.

Total or partial fissure in the middle of the sternum (cleft sternum or fissura sterni congenita) is a rare congenital anomaly. Absence of skeleton in the front part of the chest wall gives rise to a severely paradoxical movement of this part of the thorax (Figs 1 and 2). Moreover, the pulsations of the heart and large vessels are clearly visible because they are covered only by soft tissues. T...

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Complete cleft sternum.

A case of complete cleft sternum is presented along with the nomenclature of sternal defects. It is recommended that the term ectopia cordis should be applied only to cases in which the heart and thoracic viscera are genuinely ectopic. Surgical correction of complete cleft sternum should be performed in the neonatal period whether the infant is symptomatic or not. Simple closure of the defect, ...

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Successful surgical repair of congenital total cleft sternum with partial ectopia cordis.

Total bifid sternum with or without ectopia cordis is a rare congenital anomaly which is treated successfully in a limited number of cases. Several methods of correction have been described using tissue grafts (cartilage, bone), inert artificial prostheses (acrylic plaques, marlex mesh), and techniques to approximate the sternal bands by relaxation of costal cartilages. In our case the method d...

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The cleft sternum: a possible role for pliable prosthetic reconstruction.

BACKGROUND Faced with our intraoperative inability to primarily close a very wide isolated cleft sternum of a pediatric patient without causing cardiovascular decompensation, we describe our use of a synthetic material for partial approximation allowing muscular coverage. METHOD We report an infant who was born with an isolated large complete sternal cleft where a trial of primary surgical re...

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Congenital Midline Cervical Cleft

accessory components. By collapsing the unnecessary space and reconstructing a new tragus, we achieved an ideal distance from the new tragus to the auditory canal, which could not be attained by filling the hollow using cartilage graft. Because the shape and conditions of polyotia are very inconstant and the incidence of this anomaly is rare, it is difficult to establish a uniform surgical tech...

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ژورنال

عنوان ژورنال: Thorax

سال: 1970

ISSN: 0040-6376

DOI: 10.1136/thx.25.4.490