Ectopia Cordis Sternal Cleft Repair With Mandibular Distractors: A Follow-Up Case Report

World J Pediatr Congenit Heart Surg. 2022 Jan;13(1):94-96. doi: 10.1177/2150135120978951. Epub 2021 May 6.


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.

Publication types

  • Case Reports

MeSH terms

  • Ectopia Cordis* / diagnostic imaging
  • Ectopia Cordis* / surgery
  • Follow-Up Studies
  • Heart Defects, Congenital* / diagnostic imaging
  • Heart Defects, Congenital* / surgery
  • Humans
  • Infant, Newborn
  • Musculoskeletal Abnormalities*
  • Sternum / abnormalities
  • Sternum / diagnostic imaging
  • Sternum / surgery

Supplementary concepts

  • Sternal cleft