We treated a 26-year-old male who sustained a self-inflicted injury to the
mediastinum with a crossbow bolt. Injuries involved penetration of the ster
num 1 cm below the sternomanubrial joint, right lung, pericardium, ascendin
g aorta, right pulmonary artery, esophagus, and azygos vein. He was treated
successfully with cardiopulmonary bypass and hypothermia. Exposure was ach
ieved with a combination of a sternotomy and right thoracotomy. (C) 2001 by
The Society of Thoracic Surgeons.