{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:50Z","timestamp":1777447730335,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T00:00:00Z","timestamp":1643932800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Penetrating transmediastinal traumatic injuries often carry a high mortality given the vital structures this type of injury often involves. Here, we describe a case of 24-year-old man who suffered multiple stab wounds to the chest and back with associated cardiac, esophageal, and arterial injury, requiring immediate operative intervention. He underwent sternotomy and left thoracotomy with pericardiotomy, repair of 2 right ventricular lacerations, and ligation of internal mammary artery. The esophageal injury was repaired with endoscopic clips. Patient had an uncomplicated recovery. Despite high mortality often associated with transmediastinal penetrating injuries, good outcomes are achievable with rapid identification of injuries and appropriate operative intervention alongside adequate resuscitation.<\/jats:p>","DOI":"10.1177\/00031348211063550","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T07:22:40Z","timestamp":1643959360000},"page":"1028-1030","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of Complex Transmediastinal Stab Wound With Cardiac, Esophageal, and Arterial Injury"],"prefix":"10.1177","volume":"88","author":[{"given":"Yasong","family":"Yu","sequence":"first","affiliation":[{"name":"Division of Surgery, Rutgers University New Jersey Medical School, Newark, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jarot","family":"Guerra","sequence":"additional","affiliation":[{"name":"Division of Surgery, Rutgers University New Jersey Medical School, Newark, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deviney A.","family":"Rattigan","sequence":"additional","affiliation":[{"name":"Division of Surgery, Rutgers University New Jersey Medical School, Newark, NJ, USA"},{"name":"Division of Trauma and Critical Care, Rutgers University New Jersey Medical School, Newark, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Kunac","sequence":"additional","affiliation":[{"name":"Division of Surgery, Rutgers University New Jersey Medical School, Newark, NJ, USA"},{"name":"Division of Trauma and Critical Care, Rutgers University New Jersey Medical School, Newark, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,4]]},"reference":[{"key":"bibr1-00031348211063550","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200004000-00002"},{"key":"bibr2-00031348211063550","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002703"},{"key":"bibr3-00031348211063550","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2007.03.1028"},{"key":"bibr4-00031348211063550","doi-asserted-by":"publisher","DOI":"10.1055\/a-0875-3695"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211063550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211063550","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211063550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:35:23Z","timestamp":1777379723000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211063550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,4]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1177\/00031348211063550"],"URL":"https:\/\/doi.org\/10.1177\/00031348211063550","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,4]]}}}