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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Year : 2017  |  Volume : 20  |  Issue : 2  |  Page : 247
Knife in the superior mediastinum: Amazing escape


Wessex Cardiothoracic Centre, University Hospitals Southampton, Southampton, SO16 6YD, UK

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Date of Web Publication6-Apr-2017
 

   Abstract 


This text describe through images, how a knife is retrieved from the superior mediastinum.

Keywords: Aortic arch, lung laceration, median sternotomy, superior mediastinum

How to cite this article:
Salhiyyah K, Ashoub A, Diprose P, Barlow C. Knife in the superior mediastinum: Amazing escape. Ann Card Anaesth 2017;20:247

How to cite this URL:
Salhiyyah K, Ashoub A, Diprose P, Barlow C. Knife in the superior mediastinum: Amazing escape. Ann Card Anaesth [serial online] 2017 [cited 2017 Oct 17];20:247. Available from: http://www.annals.in/text.asp?2017/20/2/247/203946




An 87-year-old female attempted suicide by stabbing herself in the suprasternal notch toward the left [Figure 1]. The patient underwent emergency exploration using a median sternotomy approach. The knife passed just lateral to left carotid and subclavian arteries and caused minor laceration to the lung. It was dissected out successfully. Images show the escape.
Figure 1: (a) The entry point of the knife. (b) A computed tomography reconstruction of the knife route in the mediastinum with relation to major structures. (c) Mediastinal dissection of the aorta (dotted arrow), and left carotid artery (solid arrow) through median sternotomy. (d) The removed knife in total

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



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Correspondence Address:
Ahmed Ashoub
Wessex Cardiothoracic Centre, University Hospitals Southampton, Tremona Road, Southampton, SO16 6YD
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_251_16

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