Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1976 Aug;31(4):466–469. doi: 10.1136/thx.31.4.466

Successful surgical repair of congenital total cleft sternum with partial ectopia cordis.

A Aytac, A Saylam
PMCID: PMC470461  PMID: 968806

Abstract

Total bifid sternum with or without ectopia cordis is a rare congenital anomaly which is treated successfully in a limited number of cases. Several methods of correction have been described using tissue grafts (cartilage, bone), inert artificial prostheses (acrylic plaques, marlex mesh), and techniques to approximate the sternal bands by relaxation of costal cartilages. In our case the method described by Verska was used to approximate the bifid sternal bands. The successful result in our patient proves the efficiency of this technique.

Full text

PDF
466

Images in this article

466Image
on p.466
467Image
on p.467
467Image
on p.467

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ASP K., SULAMAA M. On rare congenital deformities of the thoracic wall. Acta Chir Scand. 1960 Apr 14;118:392–404. [PubMed] [Google Scholar]
  2. Bernhardt L. C., Meyer T., Young W. P. Bifid sternum. Case report and surgical management. J Thorac Cardiovasc Surg. 1968 May;55(5):758–760. [PubMed] [Google Scholar]
  3. CANTRELL J. R., HALLER J. A., RAVITCH M. M. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet. 1958 Nov;107(5):602–614. [PubMed] [Google Scholar]
  4. Daum R., Heiss W. Zur operativen Korrektur angeborener Sternumspalten. Thoraxchir Vask Chir. 1970 Oct;18(5):432–436. doi: 10.1055/s-0028-1099249. [DOI] [PubMed] [Google Scholar]
  5. HOFFMAN E. SURGICAL CORRECTION OF BIFID STERNUM USING MARLEX MESH. Arch Surg. 1965 Jan;90:76–80. doi: 10.1001/archsurg.1965.01320070078017. [DOI] [PubMed] [Google Scholar]
  6. KRONTIRIS A., TSIRONIS A. BIFID STERNUM. SUCCESSFUL REPAIR BY USE OF AN ACRYLIC PLAQUE: REPORT OF A CASE. J Int Coll Surg. 1964 Mar;41:301–307. [PubMed] [Google Scholar]
  7. LARSEN L. L., IBACH H. F. Complete congenital fissure of the sternum. Am J Roentgenol Radium Ther Nucl Med. 1962 Jun;87:1062–1063. [PubMed] [Google Scholar]
  8. MAIER H. C., BORTONE F. Complete failure of sternal fusion with herniation of pericardium; report of a case corrected surgically in infancy. J Thorac Surg. 1949 Dec;18(6):851-9, illust. [PubMed] [Google Scholar]
  9. MAIER H. C., BORTONE F. Complete failure of sternal fusion with herniation of pericardium; report of a case corrected surgically in infancy. J Thorac Surg. 1949 Dec;18(6):851-9, illust. [PubMed] [Google Scholar]
  10. Murray J. A. Bifid sternum. Br J Radiol. 1966 Apr;39(460):320–320. doi: 10.1259/0007-1285-39-460-320. [DOI] [PubMed] [Google Scholar]
  11. ROCCAFORTE D. S., MEHNERT J. H., PENICHE A. Repair of bifid sternum with autogenous cartilage: a case report. Ann Surg. 1959 Mar;149(3):448–452. doi: 10.1097/00000658-195903000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. SABISTON D. C., Jr The surgical management of congenital bifid sternum with partial ectopia cordis. J Thorac Surg. 1958 Jan;35(1):118–122. [PubMed] [Google Scholar]
  13. Symbas P. N., Ware R. E. A syndrome of defects of the thoracoabdominal wall, diaphragm, pericardium, and heart. One-stage surgical repair and analysis of the syndrome. J Thorac Cardiovasc Surg. 1973 Jun;65(6):914–919. [PubMed] [Google Scholar]
  14. Toyama W. M. Combined congenital defects of the anterior abdominal wall, sternum, diaphragm, pericardium, and heart: a case report and review of the syndrome. Pediatrics. 1972 Nov;50(5):778–792. [PubMed] [Google Scholar]
  15. Verska J. J. Surgical repair of total cleft sternum. J Thorac Cardiovasc Surg. 1975 Feb;69(2):301–305. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES