Surgical repair of total cleft sternum

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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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Surgical Repair of Cyclodialysis Cleft

Cyclodialysis cleft is separation of meridonal ciliary muscle fibers from the scleral spur, thereby creating an additional drainage pathway of aqueous humor into the suprachoroidal space.1-4 This new drainage pathway leads to increase in uveoscleral outflow and may result in chronic ocular hypotony.5 The hypotony may also be due to decreased aqueous production.6 In past, creating an iatrogenic ...

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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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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1975

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)41598-5