Al-Yamani Mohammed, Lavrand Frederic, Thambo Jean-Benoit, Roubertie François
Department of Cardiovascular Surgery, Bordeaux Heart University Hospital, Bordeaux, France.
Department of Pediatric Surgery, Pellegrin-Enfant Hospital, Bordeaux, France.
Ann Thorac Surg. 2016 Feb;101(2):760-2. doi: 10.1016/j.athoracsur.2015.03.049.
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.
胸骨裂合并复杂先天性心脏缺陷极为罕见，其治疗颇具挑战性。提倡在婴儿早期对两种畸形进行一期完整手术修复。对于孤立性胸骨裂修复存在不同的手术技术，但这些技术未考虑到胸骨缺损闭合与心脏手术相结合时不可避免的术后心脏水肿所带来的困难。我们描述了一种成功的手术技术，在一名3个月大婴儿的心脏手术中，使用可吸收聚乙醇酸910网片和自体胸骨骨移植修复胸骨裂，以避免术后心脏扩张。
