Video-assisted thoracoscopic surgery for large anterior mediastinal hematoma

Abstract

Anterior mediastinal bleeding caused by blunt chest injury is dangerous. Patients with rupture of large cardiac vessels often die of massive blood loss before getting to a hospital. The internal thoracic artery and vein, intercostal vessels or fracture ends caused bleeding that resulted in a mediastinal hematoma (1,2). Due to the nature of blunt chest injuries, the variation of anterior mediastinal hematoma cases is wide, and the specific source of bleeding is not always clear.