Hybrid procedure for Poland syndrome associated with a Gerbode-type defect

Area of Science:

• Cardiology
• Thoracic Surgery
• Pediatric Surgery

Background:

• Poland syndrome is a rare congenital condition affecting chest wall and upper limb development.
• Gerbode-type defect is an extremely rare cardiac anomaly involving an interventricular septal defect with aortic valve prolapse.
• The simultaneous occurrence of Poland syndrome and Gerbode-type defect is unprecedented in medical literature.

Observation:

• A 9-year-old boy presented with a rare combination of Poland syndrome and Gerbode-type defect.
• The patient required chest wall reconstruction and device closure for the Gerbode-type defect due to infective endocarditis risk.

Findings:

• A novel hybrid therapeutic strategy was employed to address both congenital malformations concurrently.
• The innovative approach utilized a single incision, minimizing patient trauma and surgical invasiveness.

Implications:

• This case demonstrates the feasibility of a combined surgical approach for complex congenital anomalies.
• The hybrid strategy offers a potentially less invasive option for treating combined Poland syndrome and Gerbode-type defects.
• This report expands the understanding of rare congenital malformations and their simultaneous surgical management.