PMID: 9160135May 1, 1997Paper

Successful repair of ectopia cordis using alloplastic materials

Annals of Plastic Surgery
K A KimS E Downey

Abstract

Ectopia cordis is a very rare congenital anomaly associated with a high mortality rate. A successful repair of ectopia cordis with complete absence of sternum was achieved in a two-stage procedure. Initial management consisted of coverage of skin over the malpositioned heart using bilateral pectoral skin flaps. A second more definitive repair was undertaken at age 14 months. Four methyl methacrylate struts were used to reconstruct the anterior chest wall and were then covered with bilateral pectoralis major muscle flaps. At the 2.5-year follow-up there is no evidence of cardiopulmonary compromise and the development of the thorax appears normal. We advise that use of alloplastic materials is a valid option in managing this difficult congenital anomaly.

Citations

Sep 9, 1999·Journal of Clinical Ultrasound : JCU·T TongsongS Wongtrangan
Aug 2, 2003·Journal of Pediatric Surgery·Julie R FuchsDario O Fauza
Feb 4, 2010·Plastic and Reconstructive Surgery·Edmond B Cabbabe, Samer W Cabbabe
Nov 30, 1999·The Journal of Obstetrics and Gynaecology Research·T YamadaS Fujimoto
Apr 1, 2011·World Journal for Pediatric & Congenital Heart Surgery·Norma Balderrábano-SaucedoFrancisco Javier Puga-Muñuzuri
Dec 6, 2006·Annals of Saudi Medicine·Mohamed S KabbaniSaad Al-Yousef
May 7, 2021·World Journal for Pediatric & Congenital Heart Surgery·Sandeep BharadwajOsama Eltayeb

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