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J Thorac Cardiovasc Surg 2005;130:1213-1214
© 2005 The American Association for Thoracic Surgery

Brief Communication

Thoracoscopic removal of a knife impaled in the chest

Joshua H. Burack, MD * , Emmanuel A. Amulraj, MD, Patricia O'Neill, MD, Gregory Brevetti, MD, Robert C. Lowery, MD

Department of Surgery, Chest Surgical Service, Kings County Hospital Center, Brooklyn, NY

Received for publication April 19, 2005; accepted for publication May 20, 2005.

* Address for reprints: Joshua Burack, MD, Department of Surgery, Box 40, State University of New York—Downstate, 450 Clarkson Ave, Brooklyn, NY 11203 (Email: jburack@downstate.edu).

The first 20% of the full text of this article appears below.

As surgeons become more comfortable with the technique, video-assisted thoracoscopic surgery (VATS) has evolved to provide both diagnostic and therapeutic value in increasingly complex cases of thoracic trauma. We report a case in which VATS techniques were used to remove a large knife impaled in the left side of the chest and to manage a concomitant injury to the left lower lobe of the lung.

Clinical Summary

A 25-year-old man was involved in an altercation and sustained a single stab wound to the left paraspinous region, midway between the tip of the scapula and the spine. The knife remained in situ, with only a large handle visible (Figure 1). The patient was transported by ambulance in the prone position and had stable vital signs on arrival to the emergency department. Examination was remarkable only for slightly decreased breath sounds on the left side, and the patient continued to have stable cardiopulmonary function. A . . . [Full Text of this Article]




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