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Ann Thorac Surg 2008;85:1447-1448. doi:10.1016/j.athoracsur.2007.10.077
© 2008 The Society of Thoracic Surgeons

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Case Reports

Chronic Expanding Hematoma in Sternum Resected 5 Years After Median Sternotomy

Susumu Kunisawa, MDa,*, Shinji Kosaka, MDa, Tadashi Matsukura, MDa, Takashi Nakashima, MDa, Takahiro Okabayashi, MDa, Hiroyuki Miyagawa, MDb, Yoichiro Miyake, MDb

a Division of Thoracic Surgery, Kochi Health Sciences Center, Kochi City, Kochi, Japan
b Division of Cardiovascular Surgery, Kochi Health Sciences Center, Kochi City, Kochi, Japan

Accepted for publication October 23, 2007.

* Address correspondence to Dr Kunisawa, Division of the Thoracic Surgery, Kochi Health Sciences Center, 2125-1, Ike, Kochi City, Kochi, 781-8555, Japan (Email: susumu_kunisawa{at}khsc.or.jp).

Chronic expanding hematomas occur at various locations in the body; however, their occurrence in the sternum has not been reported yet. We report a patient with chronic expanding hematoma in the sternum 5 years after undergoing a median sternotomy for cardiac surgery. Although preoperative biopsy specimens did not lead to a definitive diagnosis, we could not rule out the possibility of a malignant tumor because of the expanding and infiltrative behavior of the hematoma. We performed a sternectomy and reconstructed the chest wall using artificial materials.







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