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胸骨裂合并漏斗胸患儿的联合修复

Combined Repair of Upper Sternal Cleft and Pectus Excavatum in a Child.

机构信息

Department of Thoracic Surgery, Avicenna Hospitals, Ataşehir, Istanbul, Turkey.

Department of Thoracic Surgery, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Fatih, Istanbul, Turkey.

出版信息

Tex Heart Inst J. 2023 Jan 1;50(1). doi: 10.14503/THIJ-21-7721.

Abstract

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.

摘要

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。

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引用本文的文献

本文引用的文献

1
Surgical Repair of Complete Congenital Sternal Cleft Associated With Pectus Excavatum.先天性完全性胸骨裂并漏斗胸的手术修复。
Ann Thorac Surg. 2020 Jan;109(1):e51-e53. doi: 10.1016/j.athoracsur.2019.04.079. Epub 2019 Jun 14.
2
Intrauterine diagnosed sternal cleft patient and her management.宫内诊断出的胸骨裂患儿及其治疗
J Vis Surg. 2016 Mar 14;2:48. doi: 10.21037/jovs.2016.03.04. eCollection 2016.
4
Complete sternal cleft in an adult: case report.成人完全性胸骨裂:病例报告
Gen Thorac Cardiovasc Surg. 2011 Aug;59(8):587-9. doi: 10.1007/s11748-010-0734-4. Epub 2011 Aug 18.
6
Twenty seven-year experience with sternal cleft repair.胸骨裂修复的二十七年经验。
Eur J Cardiothorac Surg. 2009 Mar;35(3):539-41. doi: 10.1016/j.ejcts.2008.12.011. Epub 2009 Jan 22.
9
Chest wall anomalies: pectus excavatum and pectus carinatum.胸壁畸形:漏斗胸和鸡胸。
Adolesc Med Clin. 2004 Oct;15(3):455-71. doi: 10.1016/j.admecli.2004.06.002.

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