Complete sternal cleft with pectus excavatum associated with tetralogy of Fallot.

Complete sternal cleft with pectus excavatum (PE) is a very rare congenital midline defect of the sternum. Most of the published reports describe this entity in isolation without associated intracardiac defects. We report a case of an 11-year-old child with a complete cleft sternum with PE and tetralogy of Fallot (TOF), who presented with cyanotic spells. The child underwent total correction for TOF, followed by chest wall reconstruction in the same setting.