{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:32:09Z","timestamp":1714523529955},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2024,4,30]]},"abstract":"<jats:p>Sternal cleft is a rare malformation of the midline fusion of the sternal bars; the most common form is the superior partial defect. Surgical correction with primary closure is the gold standard. It is recommended that the procedure be performed before 3 months of age because of the greater compliance and maximal flexibility of the thoracic wall.  These features ensure a safer repair with a low risk of complications and allow for a less extensive procedure that does not require the use of additional techniques. A midline incision is performed in the anterior thoracic wall, and the major pectoralis flaps are raised. The main surgical goal is to change the remaining sternum from a U to a V shape. Transfixing interrupted sutures are placed in the cartilaginous borders for midline closure. Hemodynamics and ventilation are monitored at this time. Closure is performed by layers.<\/jats:p>","DOI":"10.1510\/mmcts.2022.030","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T15:52:12Z","timestamp":1714492332000},"source":"Crossref","is-referenced-by-count":0,"title":["Primary closure of a sternal cleft in the neonatal period"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2024,4,30]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T15:52:18Z","timestamp":1714492338000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/case-report\/1739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,30]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2022.030","relation":{},"ISSN":["1813-9175"],"issn-type":[{"value":"1813-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,30]]}}}