Repair of inferior sternal cleft using a titanium plate in an infant with pentalogy of Cantrell

Tingjiang, Qin; Liu, Yingbei; An, Youzhong

doi:10.1111/jocs.12847

Cited by 7 publications

(13 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many prosthetic materials have been used for sternal cleft reconstruction, such as silicone elastomers and titanium plates 4,10,12 . We reported on our previous experience in 2016 4 . In our case, we used a titanium plate to repair the sternal cleft and achieved a good appearance.…”

Section: Discussionmentioning

confidence: 99%

“…Repair of the inferior sternal cleft has been a hot topic and has attracted much attention, but there has been no consensus of opinions. The biggest challenge is the choice of an appropriate material to repair sternal clefts, and we previously reported on our method 4 . Here, we summarize our experience in successfully treating 4 patients with this complex congenital anomaly and describe the long-term outcomes of reconstruction of the inferior sternal cleft with a titanium plate 4 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Technique Using a Titanium Plate to Reconstruct the Inferior Sternal Cleft in Pentalogy of Cantrell: Lessons From Four Patients

Xi¹,

Wu²,

Pan³

et al. 2021

Preprint

View full text Add to dashboard Cite

BackgroundBy reviewing the outcomes of four patients, we summarize our experience with the strategy of using a titanium plate to reconstruct the inferior sternal cleft in pentalogy of Cantrell (POC).MethodsThis was a retrospective analysis of 4 patients who visited our department between January 2000 and June 2020 concurrent with POC. All four patients underwent an operation, as well as cardiac ultrasound and thoracoabdominal computed tomography (CT). Cardiac malformations achieved satisfactory correction according to echocardiographs. A titanium plate was used to repair the sternal and supraumbilical abdominal defects. The hospital course, operative data, and outpatient records were reviewed.ResultsAll 4 patients had partial sternal clefts, and 4 patients underwent a single-stage operation. All 4 cases of ectopia cordis were eventually repositioned. The defect in the sternum and supraumbilical abdomen was repaired using a titanium plate. One patient with double-outlet right ventricle (DORV) developed low cardiac output syndrome and pulmonary infection, and symptomatic treatment was administered until discharge. The mean follow-up time ranged from 9 months to 10 years. No patient developed pectus excavatum, and there were no cases of retrosternal seroma or pneumothorax. The titanium plate was migratory in the second patient and was dislodged at another hospital 3.5 years postoperation, and a fibreboard was formed in the area where sternal cleft; the beating heart could not be observed outside the thoracoabdominal or thoracic wall. In the first patient, the titanium plate was torn with a small fissure at 2 years postoperation, but the fissure was not enlarged during follow-up. In the other two patients, the appearance of both the abdominal wall and lower sternum and cardiac function were good. The New York Heart Association function class was I in all four patients.ConclusionThe use of a titanium plate to construct the neosternum can yield a satisfactory exterior appearance of the thorax with a partial sternal cleft, but long-term outcomes need to be examined further.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Technique Using a Titanium Plate to Reconstruct the Inferior Sternal Cleft in Pentalogy of Cantrell: Lessons From Four Patients

Xi¹,

Wu²,

Pan³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Three main surgical strategies have been described for congenital cleft closure: (1) direct closure, (2) closure using autologous tissue, or (3) artificial material. 1 5 8 9 However, no gold standard has emerges to date as the number of cases is very small.…”

Section: Discussionmentioning

confidence: 99%

“…has been described. 1 4 5 9 These techniques may lead to residual pain and exposes patients to infectious complications. Seromas have also been frequently seen.…”

Section: Discussionmentioning

confidence: 99%

First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child

Fouilloux

Bertin

Peltier

et al. 2019

European J Pediatr Surg Rep

View full text Add to dashboard Cite

Sternal cleft is a rare congenital abnormality, often associated with other congenital defects. We present the case of a 9-year-old child with complete sternal cleft, treated with an innovative sternal prosthesis. Surgery was performed to protect the heart and also, as pulsations was visible, leading to serious esthetical concerns, to enhance school integration, which was difficult. The porous alumina device used was initially designed for sternal reconstruction after refractory deep sternal wound infection or carcinoma. Surgery and early follow-up were simple. There was no complication and the follow-up of more than 1 year reveals a good healing without breath discomfort and a correct development of the chest wall. In this rare indication, the alumina ceramic sternal prosthesis offers a reliable alternative to classical methods, such as muscle flap, autogenous tissue transfer, costal homograft, and other prosthetic materials like mesh or synthetic patch.

show abstract

“…Many materials have been developed for repairing these defects, but the use of autologous tissues is preferable [8].…”

Section: Surgical Techniquementioning

confidence: 99%

Pentalogy of Cantrell with Sternum Agenesis—A Case Report

Amorim¹,

Filho²,

Sarmento³

et al. 2020

OJTS

View full text Add to dashboard Cite

Introduction: Pentalogy of Cantrell is a rare disorder described by Cantrell in 1958 and characterized by heart anomalies, involving defects of the diaphragm, abdominal wall, supraumbilical region and pericardium. Methods: We report a case of the disease that presented with agenesis of the sternum and partial absence of costal cartilage, treated by a multidisciplinary team. Results: The patient underwent median sternotomy. An enlarged heart, compromising the pulmonary trunk and the right ventricle, and a left superior vena cava were identified. The right atrium was opened and an interventricular communication of around 10 mm in diameter was seen through the tricuspid valve. Following the repair of the heart defects, chondroplasty and placement of biological mesh (Bioway of Gore) were performed. Conclusion: A Successful surgical treatment for Cantrell Syndrome includes correction of the cardiac malformation, a good repair of thoracoabdominal wall.

show abstract

Repair of inferior sternal cleft using a titanium plate in an infant with pentalogy of Cantrell

Cited by 7 publications

References 11 publications

Technique Using a Titanium Plate to Reconstruct the Inferior Sternal Cleft in Pentalogy of Cantrell: Lessons From Four Patients

Technique Using a Titanium Plate to Reconstruct the Inferior Sternal Cleft in Pentalogy of Cantrell: Lessons From Four Patients

First Sternal Cleft Repair Using a Porous Alumina Ceramic Prosthesis in a 9-Year-Old Child

Pentalogy of Cantrell with Sternum Agenesis—A Case Report

Contact Info

Product

Resources

About