Major mediastinal injury from crossbow bolt.

Endara, S A; Xabregas, A A; Butler, C S; Zonta, M J; Avramovic, J · Ann Thorac Surg · 2001

case_report · Level V

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Abstract

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.

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