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

Xu, Shoujun; Yang, Chunxu; Gan, Yong; Jiang, Guihua

doi:10.1002/ppul.25677

Cited by 4 publications

(5 citation statements)

References 16 publications

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“…Sternal cleft is a rare congenital malformation, representing only 0.15% of all thoracic malformations. Resulting from failed sternal bone fusion during embryogenesis, 2 it is often associated with other defects, such as pentalogy of Cantrell, tetralogy of Fallot, aortic coarctation, and gastroschisis. Cardiac abnormalities are the characteristic features of pentalogy of Cantrell, including cardiac enlargement, valvular abnormalities, and so on.…”

Section: Discussionmentioning

confidence: 99%

“…It is widely accepted that congenital sternal clefts should be repaired surgically during the neonatal period for the compliance of the thorax is higher and primary direct closure is feasible. 2 However, after this period, alternative surgical methods are recommended to avoid cardiovascular compression. For this patient, a 49-year-old man, we designed and fabricated a 3D-printed implant to individually fit the irregularly shaped chest wall defect created by the removal of this foveal deformity, thus relieving the pressure on the heart.…”

Section: Discussionmentioning

confidence: 99%

“…Sternal cleft, a rare congenital malformation, often coexists with other defects, including pentalogy of Cantrell, tetralogy of Fallot, and gastroschisis. 1 , 2 Pentalogy of Cantrell is characterized by cardiac abnormalities, including enlargement and valvular abnormalities, which can coexist with sternal cleft. The neonatal period is the optimal time for sternal cleft repair, 2 and once this period is passed, alternative surgical procedures should be chosen.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 Pentalogy of Cantrell is characterized by cardiac abnormalities, including enlargement and valvular abnormalities, which can coexist with sternal cleft. The neonatal period is the optimal time for sternal cleft repair, 2 and once this period is passed, alternative surgical procedures should be chosen. Reconstruction methodologies include primary closure, grafting, muscle flap interposition, or prosthetic implantation.…”

Section: Introductionmentioning

confidence: 99%

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Complete sternal cleft individualized repair using a 3D-printed polyether ether ketone model: a case report

Zhang,

Wang,

Dang

et al. 2023

European Heart Journal - Case Reports

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Background Bicuspid aortic valve (BAV) is a common anatomical variation that the aortic valve possesses two functional cusps. Sternal cleft is a rare congenital malformation which is caused by failed fusion of sternal bones. Early surgical repair is advised, otherwise, alternative surgical techniques should be performed. Due to their biocompatibility and elasticity, 3D-printed polyether ether ketone (PEEK) implants can be used. Complete sternal cleft coexistence with BAV is infrequent. Case Summary A 49-year-old man with a 6-month history of paroxysmal shortness of breath (SOB) and exertional chest tightness presented to our hospital. The man was diagnosed with BAV with severe aortic valve regurgitation (AR) and a complete sternal cleft. He underwent aortic valve replacement surgery used the bovine pericardial aortic valve. Concurrently, a 3D-printed PEEK implant surgery was performed to address the sternal cleft. The patient's post-operative recovery was uneventful. Discussion In this case, 3D-printed PEEK implants was used for high biocompatibility and elastic modulus. However, because PEEK material inherently lacks biological activity, enhancing this aspect remains a focal point of clinical research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Complete sternal cleft individualized repair using a 3D-printed polyether ether ketone model: a case report

Zhang,

Wang,

Dang

et al. 2023

European Heart Journal - Case Reports

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“…Anterior chest wall defects in children largely result from sternal resection, 1 with causative pathologies ranging from infection, tumor, and trauma to congenital diseases 2–6 . The primary reconstructive goals include restoring skeletal stability, preserving cardiopulmonary mechanics, obliterating dead space, and protecting the vital mediastinal visceral organs 1,7 .…”

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confidence: 99%

Anterior Chest Wall Reconstruction After Separation of Thoraco-Omphalopagus Conjoined Twins With Cadaveric Rib Grafts and Omental Flap

Hashemi,

Gimenez,

Yim

et al. 2023

Ann Plast Surg

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Background Anterior chest wall defects have a wide range of etiologies in the pediatric population, ranging from infection, tumor, and trauma to congenital diseases. The reconstructive goals include restoring skeletal stability, obliterating dead space, preserving cardiopulmonary mechanics, and protecting vital underlying mediastinal organs. Although various reconstructive methods have been described in the literature, selecting the optimal method is challenging for the growing pediatric skeleton. Here, we report a case of previously thoraco-omphalopagus twins who underwent successful separation and reconstruction and presented for definitive anterior chest wall reconstruction. Methods A pair of previously thoraco-omphalopagus conjoined twins underwent definitive anterior chest wall defect reconstruction using cadaveric ribs and omental flap. Twin A received 2 cadaveric ribs, whereas twin B had a much larger sternal defect that required 3 cadaveric ribs combined with an omental flap for soft tissue chest coverage. Both twins were followed up for 8 months. Results Twin A's postoperative course was uneventful, and she was discharged on postoperative day 6. Twin B's course was complicated, and she was discharged on supported ventilation on postoperative day 10. At 8 months postoperatively, both twins healed well, and chest radiographs confirmed the stability of the chest reconstructions. The rib grafts in the twin with a tracheostomy were not mobile, and the patient had a solid sternum with adequate pulmonary expansion. The construct initially did not facilitate pulmonary functioning, but after a healing process, it eventually allowed for the twin with the tracheostomy who required pulmonary assistance to no longer need this device. Conclusions Cryopreserved cadaveric ribs and omental flaps offer safe and reliable reconstructive methods to successfully reconstruct congenital anterior chest wall skeletal defects in the growing pediatric population. The involvement of multidisciplinary team care is key to optimizing the outcomes.

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Sternal cleft repair: A single-institution case-series

Anderson

Dellinger

Waldhausen

2022

Journal of Pediatric Surgery Case Reports

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

Abstract: Summary An isolated sternal cleft is an orphan congenital defect of the sternum that presents from birth to adulthood. We report the case of a 4‐day‐old newborn with an isolated congenital cleft sternum. We also reviewed the related literature and operative options.

Cited by 4 publications

References 16 publications

Complete sternal cleft individualized repair using a 3D-printed polyether ether ketone model: a case report

Complete sternal cleft individualized repair using a 3D-printed polyether ether ketone model: a case report

Anterior Chest Wall Reconstruction After Separation of Thoraco-Omphalopagus Conjoined Twins With Cadaveric Rib Grafts and Omental Flap

Sternal cleft repair: A single-institution case-series

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