• J Card Surg · Mar 2004

    Case Reports

    Total mediastinal traverse with isolated internal mammary artery transection.

    • Ali Khoynezhad, Leonard Barrett, Ernesto Hayn, and Gerald W Shaftan.
    • Department of Surgery, North Shore University-Long Island Jewish Medical Center, The Long Island Campus of the Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA. akhoy@lycos.com
    • J Card Surg. 2004 Mar 1; 19 (2): 136-8.

    AbstractTransmediastinal 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.

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