Penetrating Thoracic Trauma

Renata Bastos, Clinton E. Baisden, Lori Harker, John H. Calhoon

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


The initial approach to penetrating thoracic trauma is directed towards the pathophysiologic syndrome upon presentation. Most patients are successfully treated with drainage tubes. The unstable patient may necessitate thoracotomy at the emergency room to drain cardiac tamponade, provide cardiac massage and control bleeding. The guidelines for this procedure are reviewed. Need for further work-up of potential injuries to other mediastinal organs is frequently screened by computerized tomography. Surgery might still be needed, on a less emergent basis, in order to repair injuries to the trachea/esophagus, retained hemothorax, or to rule out diaphragmatic injury. Laparoscopic and thoracoscopic procedures may be used in specific situations.

Original languageEnglish (US)
Pages (from-to)19-25
Number of pages7
JournalSeminars in thoracic and cardiovascular surgery
Issue number1
StatePublished - Mar 2008


  • chest
  • emergency thoracotomy
  • gunshot wound
  • stab wound
  • thoracic
  • trauma

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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