Major mediastinal injury from crossbow bolt

We treated a 26-year-old male who sustained a self-inflicted injury to the mediastinum with a crossbow bolt. Injuries involved penetration of the sternum 1 cm below the sternomanubrial joint, right lung, pericardium, ascending aorta, right pulmonary artery, esophagus, and azygos vein. He was treated...

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Veröffentlicht in:	The Annals of thoracic surgery 2001-12, Vol.72 (6), p.2106-2107
Hauptverfasser:	Endara, Santiago A., Xabregas, Antonio A., Butler, Christopher S., Zonta, Mark J.E., Avramovic, John
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Cardiopulmonary Bypass Embolectomy Foreign Bodies - diagnostic imaging Foreign Bodies - etiology Foreign Bodies - surgery Heart Arrest, Induced Humans Male Mediastinum - diagnostic imaging Mediastinum - injuries Mediastinum - surgery Postoperative Complications - surgery Radiography Reoperation Sternum - surgery Thoracotomy Wounds, Stab - diagnostic imaging Wounds, Stab - etiology Wounds, Stab - surgery
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Beschreibung
Zusammenfassung:	We treated a 26-year-old male who sustained a self-inflicted injury to the mediastinum with a crossbow bolt. Injuries involved penetration of the sternum 1 cm below the sternomanubrial joint, right lung, pericardium, ascending aorta, right pulmonary artery, esophagus, and azygos vein. He was treated successfully with cardiopulmonary bypass and hypothermia. Exposure was achieved with a combination of a sternotomy and right thoracotomy.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(01)02584-X