J Korean Soc Emerg Med.  2012 Oct;23(5):730-733.

Anterior Mediastinal Hematoma after Cardiopulmonary Resuscitation

• Kang DG
• Kim SE
• Hong JY
• Park MS
• Sim JS
• Oh KJ
• Kim EJ
• Yang BK
• Cho GC

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.

Keyword

Mediastinum; Hemorrhage; Cardiopulmonary resuscitation; Angioplasty; Abciximab

MeSH Terms

Angioplasty
Antibodies, Monoclonal
Cardiac Tamponade
Cardiopulmonary Resuscitation
Echocardiography
Glycoproteins
Hematoma
Hemorrhage
Immunoglobulin Fab Fragments
Mediastinum
Myocardial Infarction
Percutaneous Coronary Intervention
Platelet Aggregation Inhibitors
Antibodies, Monoclonal
Glycoproteins
Immunoglobulin Fab Fragments
Platelet Aggregation Inhibitors