Thymectomy to achieve primary closure of total sternal cleft

Michele Torre, Giovanni Rapuzzi, Edoardo Guida, Sara Costanzo, Vincenzo Jasonni

Research output: Contribution to journalArticle

Abstract

Total sternal cleft is a rare congenital malformation that may represent a challenge for the surgeon. In neonatal period, the primary closure is usually achievable, but at older age, this can be impossible. Moreover, the closure of the 2 sternal bars can bring to an exaggerated compression on mediastinal structures. Many different techniques for the treatment of sternal clefts have been reported in literature. We describe one case of total sternal cleft repaired at 4 months of age in which a partial thymectomy was performed to achieve the primary closure. We suggest considering this simple procedure in selected patients to reduce the risk of mediastinal compression.

Original languageEnglish
JournalJournal of Pediatric Surgery
Volume43
Issue number12
DOIs
Publication statusPublished - Dec 2008

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Keywords

  • PHACES syndrome
  • Sternal cleft
  • Sternal malformation
  • Thymectomy
  • Vascular dysplasia

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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