A case report of surgical repair of cleft sternum in a child.

Autor:	Ngoc Thach P; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Tran Ban H; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam.; Department of Pediatric Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh city, Ho Chi Minh City, Vietnam., Anh Dung HV; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Minh Chieu V; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Viet Tanh NT; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Truong Nhan V; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Thanh Tri T; Department of General surgery, Children's Hospital 2, Ho Chi Minh City, Vietnam., Tra My TT; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam., Tan Lien Bang M; Department of Radiology, Children's Hospital 2, Ho Chi Minh City, Viet Nam., Minh Duc N; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.; Department of Radiology, Children's Hospital 2, Ho Chi Minh City, Viet Nam.; Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet Nam.
Jazyk:	angličtina
Zdroj:	La Clinica terapeutica [Clin Ter] 2021 Nov 22; Vol. 172 (6), pp. 495-499.
DOI:	10.7417/CT.2021.2363
Abstrakt:	Background: Sternal cleft is a rare congenital chest wall defect, occurring in only 1 in 100,000 live births, and very few cases have been described in the literature. Surgery is indicated to protect the heart and major vessels. This study provides a clinical case presentation and literature review of sternal cleft. Methods: This is a review of a case presenting with chest wall defects. The patient underwent a primary cleft closure at Children's Hospital No. 2. All perioperative data were collected and presented. Case Presentation: A healthy 3-year-old girl was admitted to Children's Hospital No. 2 with an abnormal chest shape, observed by her mother. An inverted "U"-shaped defect of the sternum was visible, and the extent of the defect could be observed by chest X-ray and spiral computed tomography (CT) imaging of the chest. After the diagnosis was confirmed, the patient was prepared for primary closure surgery. We achieved primary closure, the patient discontinued oxygen 5 days after surgery, and the patient was discharged 14 days after surgery. Conclusion: Chest wall malformations can present with various phenotypes, although congenital sternal cleft is a rare anomaly. This defect is often asymptomatic. Depending on the size of the defect, a sternal cleft may be treated or monitored. The optimal treatment during early life is surgical repair to achieve primary closure.
Databáze:	MEDLINE
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