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Miralem Pasic
Thierry Carrel
Marko I. Turina
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Ann Thorac Surg 1993;56:165-168
© 1993 The Society of Thoracic Surgeons

Articles

Sternal cleft associated with vascular anomalies and micrognathia

Miralem Pasic, MD, ScD*, Thierry Carrel, MD, Martin Tönz, MD, Urs Niederhäuser, MD, Ludwig K. Von Segesser, MD, Marko I. Turina, MD

Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland

Accepted for publication September 11, 1992.

* Address reprint requests to Dr Pasic, Clinic for Cardiovascular Surgery, University Hospital Zurich, Rämistrasse 100, CH-8091 Zurich, Switzerland.

Sternal defects combined with craniofacial vascular defects are rare. We report on a 45-year-old woman with a sternal cleft associated with craniofacial and brain hemangiomata, an aneurysm of the aortic arch, anomalous origin of the coronary arteries, a left superior vena cava, micrognathia, supraumbilical midline raphe, and a cervical cyst. The surgical procedure consisted of the resection and replacement of the aortic arch and the innominate artery with reimplantation of the left carotid artery into the graft under circulatory arrest and deep hypothermia. The presence of sternal cleft is an indication for the surch for other asymptomatic internal vascular anomalies.




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