Upper Sternal Cleft Associated With Congenital Cardiac Defect: Single Stage Surgical Correction

Pavol Omanik1, Pavel Valentik2, Matej Nosal2

  • 1Pediatric Surgery Department, National Institute of Children's Diseases, Comenius University in Bratislava Faculty of Medicine, 833 40 Bratislava, Slovakia.

Insights

Sternal cleft, a rare congenital defect, can occur with heart issues. This case study shows successful single-stage surgical correction in a 6-month-old girl, achieving excellent cosmetic and functional results.

Area of Science:

  • Congenital Malformations
  • Embryological Development
  • Pediatric Surgery

Background:

  • Sternal cleft is a rare anterior chest wall malformation due to failed embryonic mesodermal migration.
  • It can be isolated or associated with other congenital defects, particularly cardiovascular anomalies.
  • This condition affects the anterior chest wall's structural integrity.

Purpose of the Study:

  • To report a case of a pediatric patient with a complex sternal cleft and associated cardiac defects.
  • To describe the successful surgical management of this combined anomaly.
  • To evaluate the cosmetic and functional outcomes of single-stage correction.

Main Methods:

  • Case report of a 6-month-old female infant.
  • Diagnosis of upper sternal cleft and concurrent ventricular and atrial septal defects.
  • Surgical intervention involving single-stage correction of both sternal and cardiac defects.

Main Results:

  • The patient underwent successful single-stage surgical correction.
  • Excellent cosmetic and functional outcomes were achieved post-surgery.
  • A stable anterior chest wall was maintained, and the child showed no cardiac limitations.

Conclusions:

  • Single-stage surgical correction is a viable and effective treatment for combined sternal cleft and congenital heart defects.
  • This approach yields favorable cosmetic and functional results in pediatric patients.
  • Successful reconstruction ensures long-term stability and improved quality of life.

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