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  • Title: Upper Sternal Cleft With a Complex Congenital Heart Defect: Repair in a Single Stage.
    Author: Al-Yamani M, Lavrand F, Thambo JB, Roubertie F.
    Journal: Ann Thorac Surg; 2016 Feb; 101(2):760-2. PubMed ID: 26777935.
    Abstract:
    Sternal clefts are extremely rare in association with complex congenital heart defects, and their management can be challenging. Complete surgical repair in early infancy, of both anomalies in a single stage, is advocated. Different surgical techniques exist for isolated sternal cleft repair, but they do not consider the difficulties of combining sternal defect closure and a cardiac operation with the unavoidable postoperative cardiac edema. We describe a successful surgical technique to repair a sternal cleft in a 3-month-old infant in a concomitant cardiac operation using an absorbable polyglactin 910 mesh plate and sternal osseous autografting to avoid postoperative cardiac distention.
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