Penetrating thoracic injury is a major medical problem due to the high mortality incidence in thoracic surgery practice. Proper and effective resuscitation and prompt transfer decreases mortality in this patients. In this study, we presented a patient who was injured with a bread knife. After transportation was provided in a seated position for 4 hours, the bread knife, which was located between the esophagus and the aorta, was removed via right thoracotomy, followed by intubation in the same position.