Anterior Mediastinal Hematoma after Cardiopulmonary Resuscitation.
- Author:
Dae Gil KANG
1
;
Sung Eun KIM
;
Ji Yeon HONG
;
Myung Soo PARK
;
Jong Seop SIM
;
Ki Jong OH
;
Eun Jung KIM
;
Bo Kyung YANG
;
Gyu Chong CHO
Author Information
1. Division of Cardiology, Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea. drhyangii@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Mediastinum;
Hemorrhage;
Cardiopulmonary resuscitation;
Angioplasty;
Abciximab
- MeSH:
Angioplasty;
Antibodies, Monoclonal;
Cardiac Tamponade;
Cardiopulmonary Resuscitation;
Echocardiography;
Glycoproteins;
Hematoma;
Hemorrhage;
Immunoglobulin Fab Fragments;
Mediastinum;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Platelet Aggregation Inhibitors
- From:Journal of the Korean Society of Emergency Medicine
2012;23(5):730-733
- CountryRepublic of Korea
- Language:Korean
-
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.