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Related Experiment Video

Updated: Aug 3, 2025

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Delayed Arterial Bleed After Pulmonary Lobectomy.

Jennifer Liu1, Erin R Leiman1

  • 1Department of Emergency Medicine, Duke University Hospital, Durham, North Carolina.

The Journal of Emergency Medicine
|April 9, 2023
PubMed
Summary

Delayed hemothorax after lung surgery is rare but can be life-threatening. Emergency physicians should consider this diagnosis in patients presenting with chest pain and shortness of breath post-thoracic surgery.

Keywords:
hemothoraxlobectomypostlobectomy hemorrhage

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Area of Science:

  • Thoracic Surgery
  • Emergency Medicine
  • Vascular Surgery

Background:

  • Postlobectomy hemorrhage is a rare complication following lung surgery.
  • Most bleeding occurs early, with a median reoperation time of 17 hours.

Observation:

  • A 64-year-old male presented with acute chest pain and shortness of breath 3 weeks after video-assisted thoracic surgery for a lung nodule.
  • The patient was diagnosed with delayed hemothorax due to acute intercostal artery bleeding.

Findings:

  • Delayed postoperative hemorrhage, though uncommon, can manifest weeks after thoracic procedures.
  • Intercostal artery bleeding is a potential cause of delayed hemothorax in the absence of trauma.

Implications:

  • Emergency physicians must consider delayed hemothorax in non-traumatic patients with recent thoracic surgery.
  • Prompt recognition and management of delayed hemothorax are critical for patient survival.