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Ann Thorac Surg 2000;69:267-269
© 2000 The Society of Thoracic Surgeons


Case Reports

Bifid sternum: neonatal surgical treatment

Marcello Dòmini, MDa, Massimo Cupaioli, MDb, Fabio Rossi, MDa, Ahmad Fakhro, MDb, Antonio Aquino, MDa,b, Pierluigi Lelli Chiesa, MDb

a Department of Pediatric Surgery, Policlinico Sant’ Orsola, University of Bologna, Bologna, Italy
b Department of Pediatric Surgery, University "G. D’Annunzio" of Chieti, Pescara, Italy

Address reprint requests to Dr Dòmini, Department of Pediatric Surgery, University of Bologna, Policlinico Sant’ Orsola, Via S. Domenico 11, 40124 Bologna, Italy
e-mail: m.domini{at}mail2.dex-net.com

The sternal cleft is a rare congenital anomaly resulting from a fusion failure of the sternum, generally observed at birth and asymptomatic. Surgery is indicated to protect the heart and major vessels from trauma, to improve respiratory dynamics, and for aesthetic reasons. We observed 2 neonates for a superior and medial thoracic mass. The defect involved the upper two thirds of the sternum. The surgical operation for both patients consisted in the primary closure of the defect.




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