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J Thorac Cardiovasc Surg 2007;133:832-834
© 2007 The American Association for Thoracic Surgery

Brief Communication

A different surgical approach for an intrathoracic expanding hematoma

Kalliopi Athanassiadi, MDa,*, Hans-Peter Reiffen, MD, PhDb, Nicolas Dickgreber, MD, PhDc, Florian Laenger, MD, PhDd, Christa-Maria Eschenbruch, MD, PhDc, Matthias Wilchelmi, MD, PhDa, Axel Haverich, MD, PhDa

a Department of Thoracic and Cardiovascular Surgery, Medical School of Hannover, Hannover, Germany
b Department of Anaesthesiology, Medical School of Hannover, Hannover, Germany
c Department of Pulmonology, Medical School of Hannover, Hannover, Germany
d Department of Pathology, Medical School of Hannover, Hannover, Germany.

Received for publication September 19, 2006; accepted for publication October 23, 2006.

* Address for reprints: Kalliopi Athanassiadi, MD, Department for Thoracic and Cardiovascular Surgery, Medical School of Hannover, Carl-Neuberg Str. 1, 30625 Hannover, Germany. (Email: kallatha@otenet.gr).

The first 20% of the full text of this article appears below.

Chronic expanding hematomas are a rare clinical entity mimicking invasive soft-tissue neoplasms. We report the successful surgical treatment of a rare case of chronic expanding hematoma in the pleural cavity of an 83-year-old patient with a massive hemoptysis who was medically treated for tuberculosis 55 years earlier. A dissection of the calcified mass and extirpation of the hematoma were performed, the whole lung was expanded, the lobar and segmental arteries and bronchi were dissected, and the bronchial arteries were cauterized. In a follow-up of 4 months, the patient presented no recurrence, and a major operation (eg, a pleuropneumonectomy) was not necessary.

Chronic expanding hematomas are a rare clinical entity mimicking invasive soft-tissue neoplasms and producing mediastinal compression, usually in patients with a history of surgery for tuberculosis or tuberculous pleurisy.1,2Go

We report the successful surgical treatment of a rare case of chronic expanding hematoma in the pleural cavity of a patient with a massive hemoptysis who was medically treated for tuberculosis 55 years earlier.

Clinical Summary

An 83-year-old man was admitted to our department with hemoptysis and . . . [Full Text of this Article]






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