Total Mediastinal Traverse with Isolated Internal Mammary Artery Transection
Authors: Khoynezhad A.; Barrett L.; Hayn E.; Shaftan G.W.
Source: Journal of Cardiac Surgery, Volume 19, Number 2, March 2004 , pp. 136-138(3)
Publisher: Blackwell Publishing
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Abstract:
Transmediastinal gunshot wounds are infrequent but life-threatening injuries. The course of the projectile and the bullet track often is unpredictable. Prompt and specific diagnostic and therapeutic interventions are necessary to quickly identify and repair potentially life-threatening injuries to the heart, great vessels, and the aerodigestive tract. Multiple diagnostic algorithms exist for work-up of these injuries, and the therapeutic interventions are diverse and challenging. We describe a patient with total mediastinal traverse, who presented with right-sided hemopneumothorax. The work-up revealed surprisingly an isolated left internal mammary artery transection with a significant hemorrhage that mandated surgical intervention in left chest. (J Card Surg 2004;19:136-138)Document Type: Research article
DOI: 10.1111/j.0886-0440.2004.04026.x
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