Anterior Mediastinal Hematoma after Cardiopulmonary Resuscitation |
Dae Gil Kang, Sung Eun Kim, Ji Yeon Hong, Myung Soo Park, Jong Seop Sim, Ki Jong Oh, Eun Jung Kim, Bo Kyung Yang, Gyu Chong Cho |
1Division of Cardiology, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. drhyangii@hallym.or.kr 2Department of Emergency Medicine, Hallym University, Kangdong Sacred Heart Hospital, Seoul, Korea. |
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ABSTRACT |
Anterior mediastinal hematoma is often reported as a complication of cardiopulmonary resuscitation (CPR). CPR can be performed as a result of myocardial infarction, and early percutaneous coronary intervention (PCI) and anticoagulant, antiplatelet agent can improve outcome. As use of antiplatelet agents, like glycoprotein IIb/IIIa inhibitors, becomes more widespread, occurrence of complications such as bleeding may be increased. The mediastinal hematoma usually resolves itself without complications; however, a large amount of hematoma can cause cardiac tamponade. Therefore, rapid diagnosis is very important. We describe a case of anterior mediastinal hematoma detected by echocardiography after CPR and PCI. |
Key words:
Mediastinum, Hemorrhage, Cardiopulmonary resuscitation, Angioplasty, Abciximab |
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