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Ann Thorac Surg 2001;71:1019-1021
© 2001 The Society of Thoracic Surgeons

Case report

Penetrating thoracic trauma in arrow injuries

Nicolas Peloponissios, MDa, Nermin Halkic, MDa, Olivier Moeschler, MDb, Pierre Schnyder, PhDc, Henri Vuilleumier, MDa

a Department of Surgery, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland
b Department of Anesthesiology, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland
c Department of Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

Accepted for publication March 21, 2000.

Address reprint requests to Dr Peloponissios, Department of Surgery, University Hospital, CHUV 1011 Lausanne, Switzerland
e-mail: nicolas.peloponissios{at}chuv.hospvd.ch

Arrow wounds are very rare. We present herein a case of hilar penetrating thoracic trauma caused by an arrow, and a review of the literature, to clarify the management of these cases and their indications for surgery. Depending on the type of arrowhead, the tissue elasticity can narrow the wound track around the shaft of the arrow, sometimes causing a tamponade effect. In the mediastinal or hilar area, an arrow should not be removed before an injury to the major blood vessels or the heart has been ruled out.




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[Abstract] [Full Text] [PDF]


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