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
Hauptverfasser: KIM, K. A, VINCENT, W. R, MUENCHOW, S. K, WELLS, W. J, DOWNEY, S. E
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container_end_page 522
container_issue 5
container_start_page 518
container_title Annals of plastic surgery
container_volume 38
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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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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