TY - JOUR PY - 2020// TI - Penetration of the ascending aorta and bronchus by a crossbow bolt JO - Interactive cardiovascular and thoracic surgery A1 - Futamura, Yasuhiro A1 - Watanuki, Hirotaka A1 - Okada, Masaho A1 - Matsuyama, Katsuhiko SP - ePub EP - ePub VL - ePub IS - ePub N2 - We report the successful repair in a 29-year-old man who experienced penetration of the ascending aorta and bronchus by a crossbow bolt. Imaging studies revealed the arrow penetrating the sternum, right lung, ascending aorta and right bronchus, with mediastinal emphysema. The top of the arrow (8 mm in diameter) was deeply embedded in the body of the thoracic vertebra. The arrow was successfully removed while maintaining a stable respiratory condition by performing differential lung ventilation. There was no need for cardiopulmonary bypass. To our knowledge, this is the first case of a through-and-through penetrating ascending aorta injury.

© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Language: en

LA - en SN - 1569-9293 UR - http://dx.doi.org/10.1093/icvts/ivaa018 ID - ref1 ER -