Ectopia cordis sternal cleft repair with mandibular distractors: a follow-up case report
Bharadwaj S, Vicari FA, Backer CL, Eltayeb O. Ectopia cordis sternal cleft repair with mandibular distractors: a follow-up case report. World J Pediatr Congenit Heart Surg. Published online May 6, 2021:2150135120978951. doi: 10.1177/2150135120978951. Online ahead of print.
A neonate with thoracic ectopia cordis presented following an uncomplicated delivery. A mandibular distractor was placed to bridge the sternal cleft and retracted (reverse distractor activation) over 24 days to facilitate sternal closure. Follow-up at five years postoperatively demonstrated a well-healed sternum. This novel approach to ectopia cordis repair facilitates slow, steady physiologic accommodation of the heart without hemodynamic instability or long-term complications.