Isolated Sternal Cleft in a Patient With Coronary Artery Disease

Ateş, Mehmet; Duvan, Ibrahim; Onuk, Burak Emre; Kurtoğlu, Murat

doi:10.1177/2150135115589790

Cited by 3 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Comment. The sternal cleft is a rare congenital malformation: only about 100 cases have been previously reported in the literature [1]. Among numerous classification schemes have been described we found that the most accurate and applicable for our case was proposed by Fokin et al [2].…”

mentioning

confidence: 60%

See 1 more Smart Citation

Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

Sekelyk¹,

Kozhokar²,

Yusifli³

et al. 2021

ujcvs

View full text Add to dashboard Cite

Sternal cleft is a rare congenital abnormality that results from incomplete fusion of the two lateral mesodermal sternal bars. It is generally accepted that primary repair in the neonatal period is the best treatment option. However, significant distance between the sternal bars can be challenging because of cardiac compression. The aim. We report a case of a 7-day-old neonate with a subtotal sternal cleft successfully managed by direct closure. Material and methods. A full-term male neonate weighing 3 kg was referred to our clinic for evaluation of a chest wall defect. The chest X-ray and computed tomography were performed to evaluate the malformation. Results. Surgery was performed at the age of 7 days. Postoperative period was uneventful. The patient was discharged on the postoperative day 21. The first postoperative checkup after 3 months showed satisfactory cosmetic results and normal respiratory movements. Conclusion. Despite the significant diastasis between sternal bars, primary direct closure of the sternal cleft can be safely performed in neonates.

show abstract

mentioning

confidence: 60%

“…

Вроджені вади серцяIntroduction. Sternal cleft (SC) is a rare congenital abnormality which accounts for 0.15% of chest wall malformations [1]. The two lateral mesodermal sternal bars have to be fused by the eighth week of gestation but in patients with SC this process is broken.

…”

mentioning

confidence: 99%

Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

Sekelyk¹,

Kozhokar²,

Yusifli³

et al. 2021

ujcvs

View full text Add to dashboard Cite

show abstract

“…Furthermore, the complication and mortality rates of the surgery are low 10 . Therefore, regardless of symptoms, surgical correction of congenital cleft sternum should be performed during the neonatal period 4,11,12,15 . It achieves direct closure with a satisfactory cosmetic effect 15 .…”

Section: Discussionmentioning

confidence: 99%

“…However, it typically does not disrupt. 2 In addition, this abnormality more commonly affects female individuals, 1,4,9,[11][12][13] who comprise approximately 75% of patients. 14 Although sternal embryology has been carefully studied, the etiology of this defect remains poorly understood.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A 4‐day‐old newborn with an isolated sternal cleft: A rare case and literature review

Yang

Gan

et al. 2021

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

Sternal cleft: new options for reconstruction

Cassiano de Macedo,

de Araujo,

de Campos

et al. 2024

J Thorac Dis

View full text Add to dashboard Cite

Sternal cleft (SC) is a rare congenital affection caused by the absence of sternal bar union. Diagnosis is generally made after birth due to paradoxical midline movement, although it can be made prenatally by ultrasonography. A computerized tomography scan (CT scan) after birth is generally used to confirm the diagnosis, assess other intrathoracic conditions, classify the SC, and plan for surgery. SC can be classified as complete or incomplete. A complete SC has a full gap between sternal bars. An incomplete SC is subdivided into superior or inferior, related to the point of bone fusion between the sternal bars. The goal of surgical treatment is to protect mediastinal structures. Many authors advocate the repair in newborn patients, although it can be performed in older patients. The main argument in its favor is the chest’s flexibility, with a reduced risk of compression of the mediastinal structures. There are several cases of series and distinct surgical techniques in the literature. Some authors have suggested the use of autologous tissue, prosthetic material such as mesh, or titanium plates and screws. Although difficulties are often encountered in surgical access, they have not been discussed. Therefore, we are promoting modifications to the technique in response to this. The purpose is to show innovations, and how to deal with adversity during the procedure.

show abstract

Isolated Sternal Cleft in a Patient With Coronary Artery Disease

Cited by 3 publications

References 6 publications

Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

Primary Closure of a Subtotal Sternal Cleft in a 7-Day-Old Neonate

A 4‐day‐old newborn with an isolated sternal cleft: A rare case and literature review

Sternal cleft: new options for reconstruction

Contact Info

Product

Resources

About