Complex sentence: He was elevated to Cardinal "In Pectore" in 1816 and made Cardinal-Priest of Santa Pudenziana in 1818 and was the first ever Maltese to receive that title.
Split into simpler sentences: He was elevated to Cardinal "In Pectore" in 1816 and made Cardinal-Priest of Santa Pudenziana in 1818. He thus became the first ever Maltese to receive that title.