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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Bibliographic Details
Published in:	The Annals of thoracic surgery Vol. 72; no. 6; pp. 2106 - 2107
Main Authors:	Endara, Santiago A., Xabregas, Antonio A., Butler, Christopher S., Zonta, Mark J.E., Avramovic, John
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-12-2001
Subjects:	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 5
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Summary:	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.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(01)02584-X