Recovery of an Impalement and Transfixion Chest Injury by a Reinforced Steel Bar

Hiroo Shikata, MD,1,2 Shuji Tsuchishima, MD,1,2 Shigeru Sakamoto, MD,1 Yasuhiro Nagayoshi, MD,1 Shinji Shono, MD,1 Hisateru Nishizawa, MD,1 Yoh Watanabe, MD,2 and Junichi Matsubara, MD1

A 36-year-old man was admitted to our hospital because of impalement injury due to a downwards fall upon some reinforced steel rods. An emergency operation was performed using percutaneous cardiopulmonary support (PCPS). The steel rods were taken out in the operating room. The heart, great vessels, vertebrae, and spinal cord were not involved in the impalement wounds. We performed a bronchoplasty of the torn and separated right main bronchus, and repaired the impaled left lung without any pulmonary resection. He recuperated without sequelae. (Ann Thorac Cardiovasc Surg 2001; 7: 304-306)

Key words: impalement injury, bronchoplasty, percutaneous cardiopulmonary support (PCPS)

From the Departments of 1Thoracic and Cardiovascular Surgery, and 2Chest Surgery, Kanazawa Medical University, Ishikawa, Japan

Received December 4, 2000; accepted for publication January 5, 2001
Address reprint requests to Hiroo Shikata, MD: Department of Thoracic and Cardiovascular Surgery, Chest Surgery, Kanazawa Medical University, 1-1 Uchinada-machi, Kawakita-gun, Ishikawa 920-0293, Japan.