Traumatic Hemomediastinum and Hemothorax in a Patient With Totally Corrected Tetralogy of Fallot

An 18-year-old Japanese youth was transferred to our emergency department because of a traffic accident. He had a past history of total correction for tetralogy of Fallot as an infant. Chest computed tomography revealed hemomediastinum and hemothorax. In an emergency operation, massive bleeding from the mediastinum was observed. Bleeding arose from the torn Blalock-Taussig shunt and right subclavian artery. Hemostasis was achieved by clipping the shunt and suturing the subclavian artery. This is a rare case of a patient with hemomediastinum caused by torn Blalock-Taussig shunt after a high-impact accident who survived it by operation.