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Updated: May 16, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Published on: January 5, 2015

Congenital sternal cleft.

Katsuhiro Yamanaka1, Tomonori Higuma, Kazuhiro Watanabe

  • 1First Department of Surgery, University of Toyama, Toyama, Japan. yamakachubanzai@gmail.com

Journal of Pediatric Surgery
|November 21, 2012
PubMed
Summary
This summary is machine-generated.

This study details a rare congenital sternal cleft case in an infant. Surgical correction using the Sabiston technique was successful, repositioning the heart and leading to a full recovery.

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Surgery
  • Thoracic Surgery

Background:

  • Congenital sternal cleft is a rare defect of the anterior chest wall.
  • This condition can lead to cardiac malposition and associated complications.

Observation:

  • A neonate presented with a rare congenital sternal cleft.
  • Multidetector computed tomography revealed dextrocardia with counterclockwise cardiac rotation.
  • The infant underwent surgical repair at 20 days old.

Findings:

  • Successful primary surgical correction was achieved using the Sabiston technique.
  • Postoperative imaging confirmed the heart's return to a more normal anatomical position.
  • The patient experienced transient instability but recovered fully and was discharged on postoperative day 13.

Implications:

  • This case highlights the successful application of the Sabiston technique for congenital sternal cleft repair.
  • Early surgical intervention can correct cardiac malposition and improve outcomes in infants with sternal defects.
  • This approach offers a viable treatment option for this rare congenital anomaly.