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CC-BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e15-e17
DOI: 10.1055/s-0037-1612619
Video Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Neonate with an Unusual Midline Defect and Cardiovascular Anomaly

Martin Poryo
1   Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany
,
Paul Hoffmann
2   Department of Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany
,
Hans-Joachim Schäfers
3   Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany
,
Clemens-Magnus Meier
4   Department of General, Visceral, Vascular and Pediatric Surgery, Saarland University Medical Center, Homburg/Saar, Germany
,
Katrin Altmeyer
5   Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg/Saar, Germany
,
Hashim Abdul-Khaliq
1   Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany
,
Michael Zemlin
2   Department of Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany
,
Sascha Meyer
2   Department of Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany
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Publikationsverlauf

20. März 2017

03. November 2017

Publikationsdatum:
22. Januar 2018 (online)

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Abstract

We present a female neonate with a sternal cleft (SC) and additional aortic aneurysm who presented with respiratory failure. Stabilization of the SC was achieved by using the xyphoid process as an autologous graft bridging the upper part of the SC. We conclude that a step-wise correction of the SC with the use of an autologous graft may improve respiratory function, and should be considered when complete surgical correction is not feasible.

Keywords

aortic aneurysm - sternal cleft - surgical repair

Supplementary Material

 

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