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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2000 February;41(1):143-6

language: English

Chronic expanding hematoma in the chest

Uramoto H., Nakanishi R., Eifuku R., Muranaka H., Takenoyama M., Yoshino I., Osaki T., Yasumoto K.

From the Department of Surgery II School of Medicine University of Occupational and Environmental Health Kitakyushu, Japan


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We ­report the suc­cess­ful sur­gi­cal treat­ment of chron­ic expand­ing hemat­o­ma in the ­chest. Four ­patients who had pre­vi­ous­ly under­gone arti­fi­cial pneu­moth­o­rax, tho­rac­o­plas­ty or ­tumor extir­pa­tion ­more ­than 30 ­years ear­li­er recent­ly ­became ­aware of a slow­ly grow­ing ­mass. Chronic expand­ing hemat­o­ma ­which devel­oped ­into ­very ­large mass­es ­over a ­long peri­od of ­time ­were ­thus suc­cess­ful­ly resect­ed. These ­patients are now all in ­good ­health ­with no recur­rence ­after the oper­a­tion. It is impor­tant to mon­i­tor ­such ­patients’ labor­a­to­ry ­data for hemo­sta­sis includ­ing the plate­let ­cell ­counts, the % pro­throm­bin ­time and the D-dim­er, ­both ­before and imme­di­ate­ly ­after oper­a­tion, and the intra­op­er­a­tive bleed­ing vol­ume.

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