Isolated Sternal Cleft in a Patient With Coronary Artery Disease

• Published in: World journal for pediatric & congenital heart surgery Vol. 7; no. 2; p. 238
• Main Authors: Ates, Mehmet Sanser, Duvan, Ibrahim, Onuk, Burak Emre, Kurtoglu, Murat
• Format: Journal Article
• Language: English
• Published: United States 01.03.2016
• Subjects: Coronary Artery Bypass, Off-Pump; Coronary Artery Disease - complications; Coronary Artery Disease - surgery; Female; Humans; Imaging, Three-Dimensional; Incidental Findings; Middle Aged; Musculoskeletal Abnormalities - complications; Musculoskeletal Abnormalities - diagnosis; Musculoskeletal Abnormalities - diagnostic imaging; Perioperative Period; Sternum - abnormalities; Sternum - diagnostic imaging; Tomography, X-Ray Computed; sternal cleft; off-pump surgery; coronary artery surgery; adult congenital heart surgery
• DOI: 10.1177/2150135115589790

A cleft sternum is a very rare developmental anomaly. It is caused by failure of fusion of the two lateral mesodermal sternal bars which later form the sternum. Diagnosis of cleft sternum is generally made in the neonatal period, and it is usually associated with other congenital defects. Occasionally, patients with cleft sternum may be reported late in the childhood or even in adulthood. We present the case of an adult patient with sternal cleft diagnosed incidentally in the perioperative period at the time of off-pump coronary artery bypass grafting. No other skeletal or cardiac congenital anomalies had been noted previously in this patient.