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Ann Thorac Surg 2006;82:2310-2311
© 2006 The Society of Thoracic Surgeons

How To Do It

Bridging the Cleft Over the Throbbing Heart

John Mathai, MCha,*, Vijit Koshy Cherian, MChb, Jacob Chacko, MCha, Sudipta Sen, MCha, Sampath Karl, MCha, Murugu S. Pandyan, MChb, Alpha K. Mathew, MChb

a Department of Pediatric Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India
b Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India

Accepted for publication February 3, 2006.

* Address correspondence to Dr Mathai, Department of Pediatric Surgery, CMC & H, Vellore, Tamil Nadu, 632004 India (Email: paedsur{at}cmcvellore.ac.in).

Primary repair of sternal cleft deformities are best achieved in the neonatal period. Conversion of a partial defect to a complete sternal cleft with sternal bar mobilization is able to achieve sternal approximation in most cases. We describe a new technique of fracturing the clavicles in unyielding cases as was our experience in a 6-week-old infant.






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