Mediastinoscopy is a widely used method to achieve pathologic diagnosis of
enlarged lymph nodes or undefined mediastinal solid mass. Aortic arch penet
ration and injury of the supraaortic arteries are rare but very dangerous c
omplications of mediastinoscopy. We describe the hazardous transportation o
f a 57-year-old woman after mediastinoscopic injury of the right common car
otid artery and its successful repair with cardiopulmonary (C) 2001 by The
Society of Thoracic Surgeons.