Department of Thoracic Surgery, Avicenna Hospitals, Ataşehir, Istanbul, Turkey.
Department of Thoracic Surgery, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Fatih, Istanbul, Turkey.
Tex Heart Inst J. 2023 Jan 1;50(1). doi: 10.14503/THIJ-21-7721.
Sternal cleft accompanied by pectus excavatum is a rare type of congenital anomaly of the chest wall. Surgical correction is a suitable approach to restore the heart, large vessels, and respiratory dynamics early. This is a report of the successful surgical correction of upper sternal cleft anomaly accompanied by pectus excavatum in a child. The pectus excavatum was corrected without the use of any prosthesis. The cleft was closed by primary approximation with enough dissected pectoralis major muscle and partial thymectomy, mobility, and flexibility ensured by pectus correction. The integrity of the sternum and the chest wall was normal at the end of the 12-month follow-up period.
胸骨裂合并漏斗胸是一种罕见的胸廓先天性畸形。手术矫正可早期恢复心脏、大血管和呼吸动力学。本文报告了一例成功手术矫正儿童上胸骨裂合并漏斗胸的病例。漏斗胸的矫正未使用任何假体。通过充分游离胸大肌和部分胸腺切除术进行一期直接拉拢，确保了胸骨和胸廓的完整性，在 12 个月的随访期结束时，胸骨和胸廓的完整性和柔韧性均正常。
