Sternal cleft malformation in a newborn

Description

We present the video case report (see online ) of a term newborn with complete sternal cleft and skin defect 2 cm in diameter, without other associated anomaly, including skeletal (figure 1). She was born by elective C-section due to breech presentation. There was no prenatal diagnosis. The baby was in good general condition. The chest X-ray did not reveal any other thoracic malformation. The echocardiogram showed a small patent ductus arteriosus and a patent foramen ovale in a structurally normal heart.

Figure 1

Chest X-ray demonstrates no skeletal abnormality on first day of life.

Sternal cleft is a rare congenital malformation due to a partial or total failure of sternal fusion early in the embryological development.1 The sternal defect seems to be more easily identified when associated with a cardiac anomaly, because of the repeated scans for other malformations....

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