Repair of congenital sternal cleft in infants and adolescents

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Repair of congenital sternal cleft in infants and adolescents José Ribas M de Campos, MD, Luiz T.B Filomeno, MD, Angelo Fernandez, MD, Raul Lopes Ruiz, MD, Hélio Minamoto, MD, Eduardo de Campos Werebe, MD, Fabio B Jatene, MD  The Annals of Thoracic Surgery  Volume 66, Issue 4, Pages 1151-1154 (October 1998) DOI: 10.1016/S0003-4975(98)00596-7

Fig 1 (A) Dissection of the anterior periosteum of the sternal bars which will be pulled medially and posteriorly, and dissection of the chondral grafts subperichondrially. (B) The posterior periosteal bed has been formed by suturing both periosteal flaps with interrupted absorbed sutures. The chondral grafts have been maintained in position by a stainless steel wire. The perichondrial sheets were closed on both sides. The Annals of Thoracic Surgery 1998 66, 1151-1154DOI: (10.1016/S0003-4975(98)00596-7)

Fig 2 Computed tomographic scan of the chest (patient 6) showing the “new sternum” protecting the mediastinal structures. The Annals of Thoracic Surgery 1998 66, 1151-1154DOI: (10.1016/S0003-4975(98)00596-7)