Case reports

Successful surgical repair of a sternum cleft using composite mesh: A case report and new technical note

NNM Razafimanjato, GO Tsiambanizafy, TDN Ravelomihary, HJL Rakotovao, FA Hunald

Abstract


Sternal clefts are infrequent congenital malformations, particularly in their complete presentation. There are less than 100 descriptions of these defects published in the literature worldwide. We report a clinical case of lower sternal cleft associated with congenital laparoschisis in a 2-year-old boy. Surgery was performed because of recurrent pneumopathy and the risk of cardiorespiratory decompensation in the midterm. A semi-resorbable prosthesis was used for sternal closure. We have not observed any complications with this sternal closure system in our patient. This approach is easy, safe, effective and not harmful to a child’s growth. Keywords. bifid sternum; chest wall deformity; congenital abnormality; laparoschisis; pentalogy of Cantrell syndrome; sternal cleft.

Authors' affiliations

NNM Razafimanjato, Division of Thoracic Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

GO Tsiambanizafy, Division of Thoracic Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

TDN Ravelomihary, Division of Thoracic Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

HJL Rakotovao, Division of Thoracic Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

FA Hunald, Division of Pediatrics Surgery, Department of Surgery, Faculty of Medicine, University of Antananarivo and Teaching Hospital of Joseph Ravoahangy Andrianavalona, Antananarivo, Madagascar

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Cite this article

African Journal of Thoracic and Critical Care Medicine 2021;27(2):67-70. DOI:10.7196/AJTCCM.2021.v27i2.103

Article History

Date submitted: 2021-06-22
Date published: 2021-06-23

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African Journal of Thoracic and Critical Care Medicine| Online ISSN: 2617-0205

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