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Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table

Congenital absence of sternum, also known as sternal cleft, is a rare anomaly. It is due to impaired organogenesis leading to nonfusion of sternal bars. It may be of two types- complete or incomplete. It may be associated with other congenital malformations viz., cardiac, anorectal etc., or may be a...

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Autores principales: Gupta, Priyamvada, Kumar, Alok, Jethava, D. D., Jethava, Durga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258978/
https://www.ncbi.nlm.nih.gov/pubmed/25886344
http://dx.doi.org/10.4103/0259-1162.143158
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author Gupta, Priyamvada
Kumar, Alok
Jethava, D. D.
Jethava, Durga
author_facet Gupta, Priyamvada
Kumar, Alok
Jethava, D. D.
Jethava, Durga
author_sort Gupta, Priyamvada
collection PubMed
description Congenital absence of sternum, also known as sternal cleft, is a rare anomaly. It is due to impaired organogenesis leading to nonfusion of sternal bars. It may be of two types- complete or incomplete. It may be associated with other congenital malformations viz., cardiac, anorectal etc., or may be a part of Cantrell's pentalogy. Besides cosmetic concerns, mediastinal structures are at increased risk to damage in case of trauma to the anterior chest wall. Due to restricted mediastinal space, there may be restrictive pulmonary dysfunctions and unstable hemodynamics. It usually presents in the neonatal period or early infancy, rarely in adult age. The defect should be surgically closed as early as possible. If cardiac arrest occurs due to any reason, the only option is open cardiac massage. We report a case of complete congenital sternal cleft accidentally diagnosed on the operation table, while preparing the patient for diagnostic laparotomy. The patient was retrospectively assessed for the presence of other congenital malformations.
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spelling pubmed-42589782014-12-08 Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table Gupta, Priyamvada Kumar, Alok Jethava, D. D. Jethava, Durga Anesth Essays Res Case Report Congenital absence of sternum, also known as sternal cleft, is a rare anomaly. It is due to impaired organogenesis leading to nonfusion of sternal bars. It may be of two types- complete or incomplete. It may be associated with other congenital malformations viz., cardiac, anorectal etc., or may be a part of Cantrell's pentalogy. Besides cosmetic concerns, mediastinal structures are at increased risk to damage in case of trauma to the anterior chest wall. Due to restricted mediastinal space, there may be restrictive pulmonary dysfunctions and unstable hemodynamics. It usually presents in the neonatal period or early infancy, rarely in adult age. The defect should be surgically closed as early as possible. If cardiac arrest occurs due to any reason, the only option is open cardiac massage. We report a case of complete congenital sternal cleft accidentally diagnosed on the operation table, while preparing the patient for diagnostic laparotomy. The patient was retrospectively assessed for the presence of other congenital malformations. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4258978/ /pubmed/25886344 http://dx.doi.org/10.4103/0259-1162.143158 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gupta, Priyamvada
Kumar, Alok
Jethava, D. D.
Jethava, Durga
Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title_full Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title_fullStr Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title_full_unstemmed Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title_short Anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
title_sort anesthetic management in a case of congenital sternal cleft diagnosed incidentally on the operating table
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258978/
https://www.ncbi.nlm.nih.gov/pubmed/25886344
http://dx.doi.org/10.4103/0259-1162.143158
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