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Management of Space Constraints in Sternal Cleft Repair (Abstract)

Man Mohan Harjai
New Delhi, India



Cleft sternum is a rare congenital anomaly often asymptomatic at birth. Clinical outcome may be unfavorable when an intracardiac anomaly coexists with the defect. Primary repair should be employed in the neonatal period because the flexibility of the chest wall is maximal and compression of underlying structures is minimal. Primary repair some times is difficult and may require some form of prosthetic material. To meet the space limitation, partial thymectomy was accomplished successfully in our case to close the sternum without causing mediastinal compression.

Key words: Cleft sternum, partial thymectomy, space limitation, neonate, early surgery


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