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Surgical repair of a sternal cleft malformation

Rıza Doğan1, Serkan Uysal1, Ulaş Kumbasar1

  • 1Department of Thoracic Surgery, Hacettepe University School of Medicine, Ankara, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 22, 2020
PubMed

Insights

Sternal cleft, a congenital chest defect, requires surgical repair for optimal respiratory function and protection of internal organs. This case highlights successful surgical correction in a neonate using innovative techniques.

Area of Science:

  • Congenital malformations
  • Thoracic surgery
  • Embryological development

Background:

  • Sternal cleft is a rare congenital chest wall malformation due to failed sternal fusion during embryogenesis.
  • Surgical intervention is recommended to safeguard mediastinal structures and improve respiratory mechanics.
  • Early correction, ideally in the neonatal period, leverages thoracic cage elasticity.

Observation:

  • A two-month-old female infant presented with a superior V-shaped sternal cleft.
  • The patient's condition necessitated surgical intervention.

Findings:

  • Successful surgical correction of the V-shaped sternal cleft was achieved.
  • The surgical techniques employed included posterior periosteal flap, sliding chondroplasty, and cartilage graft interposition.

Implications:

  • This successful correction demonstrates the efficacy of combined surgical techniques for sternal cleft repair.
  • Early surgical management can lead to favorable outcomes in infants with sternal clefts.
  • Restoration of chest wall integrity is crucial for respiratory function and overall health.

Keywords:
Chest wall deformitychondroplastysternal cleft

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