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Chronic expanding hematoma in sternum resected 5 years after median sternotomy

Susumu Kunisawa1, Shinji Kosaka, Tadashi Matsukura

  • 1Division of Thoracic Surgery, Kochi Health Sciences Center, Kochi City, Kochi, Japan. susumu_kunisawa@khsc.or.jp

The Annals of Thoracic Surgery
|March 22, 2008
PubMed

Chronic expanding hematomas occur at various locations in the body; however, their occurrence in the sternum has not been reported yet. We report a patient with chronic expanding hematoma in the sternum 5 years after undergoing a median sternotomy for cardiac surgery. Although preoperative biopsy specimens did not lead to a definitive diagnosis, we could not rule out the possibility of a malignant tumor because of the expanding and infiltrative behavior of the hematoma. We performed a sternectomy and reconstructed the chest wall using artificial materials.

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