Work

Challenges in Anesthetic Care for Chest Wall Reconstruction in a Child with Sternal Agenesis: A Case Report

Year: 2025

Type: article

Abstract: Congenital absence of the sternum is a rare chest wall malformation associated with a decrease in the chest wall compliance and respiratory failure. This study describes the case of a 6-month-old patient diagnosed with agenesis of the sternum, hypoplasia of the costal arches, dextrocardia, atrial septal defect, and hepatomegaly. Shortly after birth, the patient developed respiratory failure and paradoxical breathing, requiring mechanical ventilation with unsuccessful attempts at weaning. Following a multidisciplinary discussion, she underwent surgery for chest wall reconstruction. This case report highlights the challenges of perioperative anesthetic management and underscores the importance of hemodynamic and ventilatory management.

Source: Bali Journal of Anesthesiology

DOI: 10.4103/bjoa.bjoa_298_24

Authors: Arthur R. Fernandes, Victor T. Guilarducci, Luiz F. A. P. de Oliveira, Marina A. Delgado

Institutions: Universidade Federal de Minas Gerais, Hospital das Clínicas da Universidade Federal de Minas Gerais

Language: English

Topic: Pectus Deformity Diagnosis and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409048680

FWCI: 0.875

Cites: 6

Cited by: 1

Related to: 10