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Ann Thorac Surg 2007;84:673-674
© 2007 The Society of Thoracic Surgeons

Case Reports

Superior Sternal Cleft Repair Using Autologous Rib Grafts in an Infant with Complex Congenital Heart Disease

Charles A. Hill, BSa, Louis C. Argenta, MDb, Michael Hines, MDa,*

a Department of Cardiothoracic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina
b Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina

Accepted for publication February 21, 2007.

* Address correspondence to Dr Hines, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1096 (Email: mhines{at}wfubmc.edu).

We report the case of an infant with superior cleft sternum and obstructed type III (infra-diaphragmatic) total anomalous pulmonary venous return. A previously undescribed approach is presented using autologous rib grafts without division of the intact inferior sternum. This technique provides protection of the anterior and superior mediastinum without the use of foreign material, destabilization of the sternum, or compromise of respiratory mechanics.






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