Pediatric Heart Expert Forum
ASD repair/sternum healing
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

ASD repair/sternum healing

6year old female had open heart surgery to repair ASD and mitral valve.  Was returned to surgery about 48 hours after first surgery for complication and they had to reopen chest.  Everything is fine now, she is healthy and back to normal activity.  Her incision is only about 4 inches long, however, the sternum is quite obviously "bowed" outward.  You can feel it by touching if she is wearing something thin you can see that it is bowed outward.  There is no pain, no bruising, etc. that we were told to watch for. Is this normal for the sternum to bow out...will it flatten with age and growth?  thanks!
Related Discussions
773655_tn?1340656399
When a median sternotomy is performed and the breast-bone is sawed down the middle to expose the heart, it requires wires to hold it together for healing after the surgery is completed.  It is not uncommon for the breastbone to heal like the keel of a ship and stick out (called a pectus carinatum).  More often it heals so that the chest appears "sunken" (pectus excavatum).  Only time will tell if the protruding part of the sternum will get somewhat flatter, but often it does not.  As long as your cardiologist feels that the sternum is "stable" (the edges are healed together), then this is generally a cosmetic issue that is not treated, and usually causes no discomfort.
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank