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The Annals of Thoracic Surgery, Vol 56, 165-168, Copyright © 1993 by The Society of Thoracic Surgeons
M Pasic, T Carrel, M Tonz, U Niederhauser, LK Von Segesser and MI Turina
Sternal defects combined with craniofacial vascular defects are rare. We
report on a 45-year-old woman with a sternal cleft associated with
craniofacial and brain hemangiomata, an aneurysm of the aortic arch,
anomalous origin of the coronary arteries, a left superior vena cava,
micrognathia, supraumbilical midline raphe, and a cervical cyst. The
surgical procedure consisted of the resection and replacement of the aortic
arch and the innominate artery with reimplantation of the left carotid
artery into the graft under circulatory arrest and deep hypothermia. The
presence of sternal cleft is an indication for the search for other
asymptomatic internal vascular anomalies.
ARTICLES
Sternal cleft associated with vascular anomalies and micrognathia
Clinic for Cardiovascular Surgery, University Hospital Zurich, Switzerland.
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