Abstract
A sternal cleft is a chest wall malformation resulting from a failure of sternal fusion. It is a rare anomaly with an incidence of 2:100,000 live births representing less than a percent of all chest wall deformities. The aim of surgery is to provide bony protection over the mediastinal structures. We present a 27-day-old neonate with an upper partial sternal cleft for whom successful primary sternal closure was performed.
Highlights
A sternal cleft (SC) is a rare chest wall malformation resulting from the failure of sternal fusion
We report a rare case of an upper partial sternal cleft in a 27-day-old neonate for whom successful primary sternal closure was performed
Hersh suggested a sternal cleft classification system consisting of four categories: (I) cleft sternum without associated anomalies, (II) cleft sternum with vascular dysplasia, (III) true ectopia cordis, and (IV) Cantrell’s pentalogy [3]
Summary
A sternal cleft (SC) is a rare chest wall malformation resulting from the failure of sternal fusion. We report a rare case of an upper partial sternal cleft in a 27-day-old neonate for whom successful primary sternal closure was performed. The baby had an intact skin cover over the chest wall (Figure 1) with a midline supraumbilical raphe. How to cite this article Ravikumar M, Palanisamy V, Raman K, et al (May 13, 2019) Primary Closure of a Partial Superior Sternal Cleft in a 27-day-old Neonate: Case Report with Short Review of Literature. A midline skin incision was made and the intact lower end of the sternum was exposed. The baby tolerated the sternal closure well (Figure 4) without any hemodynamic instability or change in the ventilator parameters. The infant had an uneventful postoperative recovery and discharged with a stable sternum
Sign-in/Register to view highlights & summary 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 call
