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J Korean Soc Emerg Med > Volume 23(5); 2012 > Article
Journal of The Korean Society of Emergency Medicine 2012;23(5): 730-733.
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.
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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