Abstract
Introduction: We report a complete sternal cleft associated with pectus excavatum who underwent successsful surgical repair of the sternal anomaly by direct approximation of the freshened sternal remnants to the midline. Case Report: A 13-year-old girl presented with a complete sternal cleft since birth, causing a cosmetic concern and constant fear of trauma. Physical examination was measured 4 cm wide at proximal and 1 cm wide at distal sternum, and pectus excavatum. Anaesthesia was induced with fentanyl 2 microg/kg, thiopenthone 6mg/kg and vecuronium 0,1 mg/kg and maintained with 50 %O2N2O and sevoflurane 1,5-2.0 %. Heart rate, ECG, arterial blood pressure, central venous pressure, SaO2 and arterial blood gases were monitored. After an uncomplicated postoperative period, the patient was discharged. Conclusion: Our effort was to preserve the normal anatomic and mechanical function of the thoracic cage as well as to achieve proper closure of the defect while protecting the heart and great vessels without using any synthetic material, with good cosmetic results.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
