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Ann Thorac Surg 2001;72:2106-2107
© 2001 The Society of Thoracic Surgeons


Case report

Major mediastinal injury from crossbow bolt

Santiago A. Endara, MD*a, Antonio A. Xabregas, FRACSa, Christopher S. Butler, FANZCAb, Mark J.E. Zonta, MBBSa, John Avramovic, FRACSc

a Department of Cardiothoracic Surgery, Townsville General Hospital, Townsville, Queensland, Australia
b Department of Anesthesia and Intensive Care, Townsville General Hospital, Townsville, Queensland, Australia
c Department of General Surgery, Townsville General Hospital, Townsville, Queensland, Australia

Accepted for publication December 13, 2000.

* Address reprint requests to Dr Endara, Department of Cardiothoracic Surgery, Townsville General Hospital, Eyre St, North Ward, Townsville, Queensland, 4810, Australia
e-mail: santiago_endara{at}health.qld.gov.au

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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Copyright © 2001 by The Society of Thoracic Surgeons.