Surgical repair of congenital sternal cleft in an adult to prevent traumatic pericardial rupture
Surgical repair of congenital sternal cleft in an adult to prevent traumatic pericardial rupture
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DOI：
10.1055/s-2006-924006
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发表时间：
2006-12-01
影响因子：
1.5
通讯作者：
Genc, O.
中科院分区：
文献类型：
--
作者：
Dakak, M.;Gurkok, S.;Genc, O.
简介：成人孤立性先天性胸骨裂是一种非常罕见的异常，迄今为止报道的病例很少。在这里，我们报告了成人与前心包缺损相关的胸骨裂的成功修复。材料和方法：一名 20 岁男性，胸骨下部出现骨缺损。体检发现胸骨远端有一个直径5厘米的卵圆形间隙。通过缺陷可以很容易地看到心脏的搏动。没有相关的异常现象。患者接受了胸骨裂修复手术。结果：胸部计算机断层扫描证实了胸骨下裂，涉及约 50% 的胸骨。超声心动图检查结果正常。术后期间很平静。该患者在不损害心脏功能的情况下实现了直接完全闭合。一年随访时，他的胸骨外观正常。讨论：根据文献，就感染风险和假体材料无法随患者生长而言，使用自体组织进行重建优于假体材料。
Introduction: Isolated congenital sternal cleft in an adult is a very rare anomaly and few cases have been reported so far. Here we report on a successful repair of a sternal cleft associated with an anterior pericardial defect in an adult. Material and Method: A 20-year-old man presented with a bony defect in the inferior part of his sternum. Physical examination revealed an ovoid gap with a diameter of 5 cm in the distal part of the sternum. Pulsations of the heart could be easily seen through the defect. There were no associated anomalies. The patient underwent surgery for repair of the sternal cleft. Results: A computed tomography scan of the chest confirmed the physical findings of an inferior sternal cleft involving approximately 50% of the sternum. The result of echocardiography was normal. The postoperative period was uneventful. Direct complete closure without compromising cardiac function was achieved in this patient. At one-year follow-up, his sternal appearance was normal. Discussion: According to the literature, the use of autogenous tissue is better than prosthetic material for reconstruction, with respect to both the risk of infection and the inability of prosthetic material to grow with the patient.