Chest wall osseous hemangioma is a rare disease entity accounting for only 0.7% of all hemangiomas. Hemangioma of the sternum is extremely rare, and only three cases have been reported in the literature. We present an additional case of a sternal hemangioma with confirmation by surgical resection. There was no local recurrence during three years' follow-up. We review the pertinent literature and discuss the management of the entity.