General Thoracic and Cardiovascular Surgery

, Volume 61, Issue 8, pp 466–468 | Cite as

Treatment of chronic expanding hematoma of the thorax with median sternotomy

  • Hitoshi UedaEmail author
  • Hiromitsu Baba
  • Kaoru Ondo
Case Report


Chronic expanding hematoma of the thorax is a rare disease. We report a 60-year-old man with chronic expanding hematoma, which occupied the left entire hemithorax. Its hematoma was extirpated with pleuropneumonectomy. It was performed through posterolateral thoracotomy following median sternotomy, through which left hilar structure including inferior pulmonary vein could be accessed and closed. After the operation, he was discharged without any significant complications.


Chronic expanding hematoma Chest Surgery Median sternotomy 


  1. 1.
    Reid JD, Kommareddi S, Lankerani A, Park MC. Chronic expanding hematomas: A clinicopathologic entity. JAMA. 1980;244:2441–2.CrossRefGoogle Scholar
  2. 2.
    Muramatsu T, Shimamura M, Furuichi M, Ishimoto S, Ohmori K, Shiono M. Treatment strategies for chronic expanding hematomas of the thorax. Surg Today. 2011;41:1207–10.CrossRefGoogle Scholar
  3. 3.
    Suzuki H, Tanaka K, Kanemitsu S, Tanaka J, Tokui T, Kaneda M. Anterior approach for pleuropneumonectomy and thoracoplasty in a patient with chronic expanding hematoma: a case report. Nihon Kokyuuki Geka Gakkai Zasshi. 2008;22:111–5.Google Scholar
  4. 4.
    Kitamura J, Okubo K, Isobe J, Ueno Y. Intrathoracic chronic expanding hematoma 53 years after artificial pneumothorax (as a treatment) for tuberculosis: report of a case. Nihon Kokyuuki Geka Gakkai Zasshi. 2005;19:141–4.Google Scholar
  5. 5.
    Matsuge S, Hosokawa Y, Yamazaki S, Satoh K, Murakami Y, Yamakawa T, et al. Five cases of surgically resected chronic expanding hematoma in the chest. Kyobu Geka. 2000;53:768–73.PubMedGoogle Scholar
  6. 6.
    Hanagiri T, Muranaka H, Hashimoto M, Nishio T, Sakai S, Ono Y, et al. Chronic expanding hematoma in the chest. Ann Thorac Surg. 1997;64:559–61.CrossRefGoogle Scholar
  7. 7.
    Eba S, Noda M, Hoshi F, Oishi H, Maeda S, Sado T, et al. Emergency anterior approach for decortication with right pneumonectomy in a patient with chronic expanding hematoma. Kyobu Geka. 2011;64:552–5.PubMedGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2012

Authors and Affiliations

  1. 1.Department of SurgeryFukuoka National HospitalFukuokaJapan

Personalised recommendations