Repair of a complete sternal cleft in a five-month-old female infant
Mehmet Oğuzhan Özyurtkan1, Mustafa Yüksel2, Necmettin Kutlu3
1Department of Thoracic Surgery, Biruni University Faculty of Medicine, Istanbul, Türkiye.
Insights
Complete sternal cleft, a rare congenital anomaly, results from failed midline ventral fusion. Surgical repair using a patch, titanium plate, and muscle flap successfully treated an infant, protecting cardiopulmonary function.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Thoracic Surgery
Background:
- Complete sternal cleft is a rare congenital anomaly caused by failed midline ventral fusion of sternal bars.
- This condition can lead to significant cardiopulmonary compromise, necessitating timely intervention.
Observation:
- A five-month-old female infant presented with a complete sternal cleft.
- The anomaly posed a risk to mediastinal structures and respiratory dynamics.
Findings:
- Surgical correction was successfully performed using a combination of a patch, titanium plate, and bilateral pectoralis muscular flap.
- The repair effectively addressed the sternal defect in the infant.
Implications:
- This case highlights a viable surgical approach for complete sternal cleft repair in infants.
- Successful surgical correction can prevent cardiopulmonary compromise and improve respiratory function in affected children.
Abstract:
Failed midline ventral fusion of sternal bars is the cause of complete sternal cleft, which is a rare congenital anomaly that may cause cardiopulmonary compromise. Very few cases of complete sternal cleft have been reported so far in the literature. Surgical correction is recommended to protect mediastinal structures and to restore respiratory dynamics. Herein, we present a case of complete sternal cleft in a five-month-old female infant which was repaired using patch, titanium plate, and bilateral pectoralis muscular flap.
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