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Eur J Cardiothorac Surg 1999;16:351-352
© 1999 Elsevier Science NL

Images in cardio-thoracic surgery

Knife impalement at the right parasternum

Junichi Yoshidaa, Masato Sakamotob, Motoichi Akaoa

a Division of Chest Surgery, Shimonoseki City Hospital, 1-13-1 Koyo-cho, Shimonoseki 750-8520, Japan
b Division of Cardiovascular Surgery, Shimonoseki City Hospital, Shimonoseki 750-8520, Japan

Corresponding author. Tel.: +81-832-31-4111; fax: +81-832-24-3838
e-mail: yoshidas{at}orange.ocn.ne.jp

A 36-year-old female was stabbed at the right parasternum with a knife (Fig. 1). An X-ray demonstrated a 13-cm metallic portion within the thorax (Fig. 2). Under a median sternotomy for vascular control, the knife was found traversing the interlobar fissure. The knife was removed without bleeding.



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  		Fig. 1. Photograph of the anterior chest wall with the knife protruded.

 


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  		Fig. 2. Lateral chest roentgenogram showing the tract of a foreign body traversing 13 cm in the right thorax.

 
Received March 8, 1999; accepted March 15, 1999.





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