mediastinal hematoma
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Trauma ◽  
2021 ◽  
pp. 146040862110464
Author(s):  
John D Inouye ◽  
Ahmed R Mohsen ◽  
Benjamin A Hirsch ◽  
Swapna Chaudhuri

This report describes a 90-year-old man who sustained blunt chest trauma that progressed to circulatory failure from an enlarging anterior mediastinal hematoma. Emergent sternotomy was performed, revealing a hematoma primarily involving the thymus that was promptly evacuated. Extrapericardial cardiac tamponade is an uncommon event that occurs when fluid collects within the mediastinum but outside the pericardium. Hemodynamically significant hemorrhage of the thymus is rare because the gland begins to involute early in development. To our knowledge, cardiac tamponade secondary to traumatic hemorrhage of the thymus has not been previously described. Early recognition and hematoma evacuation can be lifesaving.


2021 ◽  
Vol 25 ◽  
pp. 101106
Author(s):  
Jaclyn H. Jansen ◽  
Ian Haseltine ◽  
Alisha E. Capps

2021 ◽  
Vol 34 (3) ◽  
pp. 183-186
Author(s):  
Donsub Noh ◽  
Sung Wook Chang ◽  
Dae Sung Ma

Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Taku Furukawa ◽  
Yudai Iwasaki ◽  
Yuji Otsuka ◽  
Takashi Moriya ◽  
Masamitsu Sanui

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hisao Yajima ◽  
Hiroyuki Tokue ◽  
Mizuki Mori ◽  
Yuto Aramaki ◽  
Yusuke Sawada ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Moumita Naidu ◽  
Robby Singh ◽  
Marcel Zughaib

Background. Vascular complications from transradial cardiac catheterization are uncommon. Mediastinal hematoma is a rare complication with life-threatening potential. We present a case of a patient who underwent cardiac catheterization and subsequently experienced odynophagia from injury to an aberrant subclavian artery that led to a mediastinal hematoma. Case Report. A 59-year-old female with past medical history of coronary artery disease presented with complaints of angina and underwent a transradial cardiac catheterization. Immediately after the procedure, the patient complained of chest pain and odynophagia. EKG and echocardiogram were unremarkable, and a CT scan of the chest demonstrated an ill-defined fluid collection present in the superior mediastinum and an aberrant right subclavian artery. The patient was closely monitored in the Intensive Care Unit, and the patient remained hemodynamically stable throughout the admission. The patient was subsequently discharged home in good condition and did well on outpatient follow-up. Conclusion. Vascular injuries associated with delivery of standard radial catheters in the subclavian artery are rare, with very few cases reported in the literature. We presented the case of a patient who had a previously unidentified right aberrant subclavian artery with a retroesophageal course which precipitated the hematoma and subsequently resulted in odynophagia despite an uncomplicated catheterization. This rare complication of a commonplace procedure necessitates prompt recognition, appropriate hemodynamic management, and possible repair of the injured vessel to appropriately manage a potentially life-threatening condition.


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