Complete sternal cleft — A rare congenital malformation and
Congenital sternal cleft is a rare developmental anomaly. Only 23 cases have been reported in literature.[1] The first case of sternal cleft was reported in 1743.[2] It may occur as part of a defined syndrome, e.g., Cantrell's pentalogy. Sternal cleft may be partial or complete. Isolated sternal cleft without any associated anomaly is rare. Surgery is indicated to protect the heart and mediastinal structures. Our objective is to present a case of primary surgical repair of complete sternal cleft in a 3-month-old child. Relevant literature review has been discussed.
A 3-month-old male child was referred to us with history of repeated respiratory tract infections. On physical examination, the baby had midline chest defect in form of complete absence of sternum. The defect measured 7 cm × 4 cm in maximum vertical and horizontal dimensions. The defect was covered with thin skin. Cardiac pulsations were visible in the defect. A vertical midline raphe extended from umbilicus to lower edge of cleft. The child had a hemangioma over the lower lip and another over the right parotid region. These hemangiomas were present since birth and were gradually increasing in size. The baby had respiratory tract infection. Abdominal examination was normal....