胸部・不完全・部分心臓脱を伴った胸骨中央部裂の治験

概要

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Middle sternal cleft with incomplete partial thoracic ectopia cordis in a 30-day-old female infant was successfully repaired by partial removal of the sternal band and primary suture closure of the cleft. The patient presented with a spindle shaped cleft (4 × 2.5cm) in the sternum, through which a part of the heart and left lung protruded. On X-ray examination, the heart and mediastinum shifted to the right and mediastinal flutter with paradoxical respiration prompted surgical intervention. Skin covering the cleft is normal but hemangiomas were fouud in the face and head. Sternal cleft is classified into the complete and the incomplete cleft. The incomplete cleft is further subclassified int the upper, the lower and the middle sternal cleft according to the site of separation. Embryology, classification, treatment and prognosis of the sternal cleft and relationship between sternal cleft and ectooia cordis were briefly discussed.
日本小児外科学会の論文
1980-04-20