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Tue Sep 4 21:03:14 BST 2007

In a message dated 9/4/2007 2:28:47 P.M. Central Daylight Time,  
sjasmd at aol.com writes:

K
The  bullet is on the left side of the neck, could this be explored through 
the  left neck?
s

Esophageal injury.  Now need to go BACK into  right chest.  Could have looked 
back there at first  operation.   

K

Sal,  It appears to my on the esophageal swallow that the injury is  inside 
the chest at the thoracic outlet.   Some might go into the left  neck, but I 
have been there, tried that and failed.   I just cannot  get to that area of the 
esophagus from the left neck, a low collar incision, or  even a left 
thoracotomy.    I can get there myself, best through  a HIGH (4ICS) RIGHT chest 
incision.      

K Mattox

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GSW TO RIGHT CHEST. IT GETS WORSE