Successful repair of ectopia cordis using alloplastic materials
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...
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Veröffentlicht in: | Annals of plastic surgery 1997-05, Vol.38 (5), p.518-522 |
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creator | KIM, K. A VINCENT, W. R MUENCHOW, S. K WELLS, W. J DOWNEY, S. E |
description | 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. |
doi_str_mv | 10.1097/00000637-199705000-00013 |
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We advise that use of alloplastic materials is a valid option in managing this difficult congenital anomaly.</description><identifier>ISSN: 0148-7043</identifier><identifier>EISSN: 1536-3708</identifier><identifier>DOI: 10.1097/00000637-199705000-00013</identifier><identifier>PMID: 9160135</identifier><identifier>CODEN: APCSD4</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Biological and medical sciences ; Bone Cements ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Male ; Medical sciences ; Methylmethacrylate ; Methylmethacrylates ; Polyethylenes ; Polypropylenes ; Prostheses and Implants ; Skin plastic surgery ; Sternum - abnormalities ; Sternum - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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We advise that use of alloplastic materials is a valid option in managing this difficult congenital anomaly.</description><subject>Biological and medical sciences</subject><subject>Bone Cements</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methylmethacrylate</subject><subject>Methylmethacrylates</subject><subject>Polyethylenes</subject><subject>Polypropylenes</subject><subject>Prostheses and Implants</subject><subject>Skin plastic surgery</subject><subject>Sternum - abnormalities</subject><subject>Sternum - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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A</creatorcontrib><creatorcontrib>VINCENT, W. R</creatorcontrib><creatorcontrib>MUENCHOW, S. K</creatorcontrib><creatorcontrib>WELLS, W. J</creatorcontrib><creatorcontrib>DOWNEY, S. E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KIM, K. A</au><au>VINCENT, W. R</au><au>MUENCHOW, S. K</au><au>WELLS, W. J</au><au>DOWNEY, S. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful repair of ectopia cordis using alloplastic materials</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>1997-05-01</date><risdate>1997</risdate><volume>38</volume><issue>5</issue><spage>518</spage><epage>522</epage><pages>518-522</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>9160135</pmid><doi>10.1097/00000637-199705000-00013</doi><tpages>5</tpages></addata></record> |
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source | Journals@Ovid Ovid Autoload; MEDLINE |
subjects | Biological and medical sciences Bone Cements Heart Defects, Congenital - surgery Humans Infant Male Medical sciences Methylmethacrylate Methylmethacrylates Polyethylenes Polypropylenes Prostheses and Implants Skin plastic surgery Sternum - abnormalities Sternum - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Mesh |
title | Successful repair of ectopia cordis using alloplastic materials |
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