Mediastinal hematomas: aortic injury and beyond.
Mediastinal hematomas are the end result of numerous conditions ranging from the deadly traumatic aortic injury to the common changes after open heart surgery. The location of the hematoma, its relation with the surrounding structures, the clinical history, and associated findings can help narrow the differential diagnosis. Contrast-enhanced computed tomography is the imaging modality of choice because of its accessibility, noninvasiveness, rapid acquisition, and ability to evaluate the entire thorax at once.
Rojas
Carlos A
CA
Department of Radiology, University of South Florida College of Medicine, Tampa, FL, USA. crojas@health.usf.edu
Restrepo
Carlos S
CS
D000328:Adult; D000368:Aged; D001011:Aorta / Q000293:injuries*; D001027:Aortography / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D008477:Mediastinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D008482:Mediastinum / Q000098:blood supply; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging; D011856:Radiographic Image Enhancement; D016103:Spinal Fractures / Q000000981:diagnostic imaging; D013249:Sternum / Q000293:injuries; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis*; D014950:Wounds, Penetrating / Q000150:complications / Q000000981:diagnostic imaging*