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CC BY-NC 4.0 · Arch Plast Surg 2014; 41(01): 77-80
DOI: 10.5999/aps.2014.41.1.77
Case Report

Repair of Inferior Sternal Cleft Using Bilateral Sternal Bar Turnover Flaps in a Patient with Pentalogy of Cantrell

Hui-Ling Chia
Department of Plastic, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital, Singapore
,
Vincent Kok-Leng Yeow
Department of Plastic, Reconstructive and Aesthetic Surgery, KK Women's and Children's Hospital, Singapore
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We report a case of sternal reconstruction using bilateral sternal bar turnover flaps in a 4-year-old boy with an inferior sternal cleft, as part of Cantrell's pentad. When the patient was 10 months old, he underwent sternal reconstruction using a resorbable poly-L-lactic-polyglycolic acid plate in the first stage when there was insufficient autogenous tissue to provide a reliable reconstruction. Bilateral sternal bar turnover was performed in the second stage at 4 years of age. This operative technique is described in this report. This novel technique provides a robust, dynamic, and reliable reconstruction for inferior sternal defects.

Keywords

Pentalogy of Cantrell - Ectopia cordis


Publication History

Received: 07 March 2013

Accepted: 29 August 2013

Article published online:
02 May 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • REFERENCES

  • 1 Cantrell JR, Haller JA, Ravitch MM. A syndrome of congenital defects involving the abdominal wall, sternum, diaphragm, pericardium, and heart. Surg Gynecol Obstet 1958; 107: 602-614
    PubMedGoogle Scholar
  • 2 Chia HL, Rasheed MZ, Ong KK. et al. Repair of ectopia cordis using a resorbable poly-L-lactic-polyglycolic acid plate in a patient with pentalogy of Cantrell. J Pediatr Surg 2012; 47: e1-e4
    PubMedGoogle Scholar
  • 3 de Campos JR, Filomeno LT, Fernandez A. et al. Repair of congenital sternal cleft in infants and adolescents. Ann Thorac Surg 1998; 66: 1151-1154
    CrossrefPubMedGoogle Scholar
  • 4 Jadhav V, Rao S, D'Cruz A. Autologous repair of isolated complete sternal cleft in an adolescent. J Pediatr Surg 2009; 44: 2414-2416
    CrossrefPubMedGoogle Scholar
  • 5 Lampert JA, Harmaty M, Thompson EC. et al. Chest wall reconstruction in thoracoabdominal ectopia cordis: using the pedicled osteomuscular latissimus dorsi composite flap. Ann Plast Surg 2010; 65: 485-489
    CrossrefPubMedGoogle Scholar