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Chronic expanding hematoma in the chest
H Uramoto1, R Nakanishi, R Eifuku
1Department of Surgery II, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
The Journal of Cardiovascular Surgery
|June 3, 2000
Summary
Surgical treatment successfully removed chronic expanding hematoma in four patients who had prior chest procedures. Long-term follow-up showed no recurrence, highlighting the importance of monitoring hemostasis during and after surgery.
Area of Science:
- Thoracic surgery
- Hematology
Background:
- Chronic expanding hematoma (CEH) is a rare condition that can develop after chest surgery.
- CEH can grow slowly over decades, leading to large masses.
Purpose of the Study:
- To report the successful surgical management of CEH in patients with a history of thoracic interventions.
- To emphasize the importance of perioperative hemostasis monitoring for CEH resection.
Main Methods:
- Surgical resection of large CEH in four patients.
- Pre- and post-operative monitoring of hemostasis parameters (platelets, prothrombin time, D-dimer).
- Monitoring of intraoperative bleeding volume.
Main Results:
- Successful resection of large CEH in all four patients.
- Patients experienced no recurrence after surgery.
- Perioperative monitoring of hemostasis was crucial.
Conclusions:
- Surgical treatment is effective for CEH, even in large, long-standing cases.
- Close monitoring of hemostasis is vital for successful surgical outcomes in CEH patients.
- Long-term follow-up confirms the efficacy of surgical intervention.