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Mediastinal Hematomas: Aortic Injury and Beyond

Rojas, Carlos A. MD*; Restrepo, Carlos S. MD

Journal of Computer Assisted Tomography: March-April 2009 - Volume 33 - Issue 2 - p 218-224
doi: 10.1097/RCT.0b013e31817c12d8
Thoracic Imaging: Review Article

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.

From the *Department of Radiology, University of South Florida College of Medicine, Tampa, FL; and †University of Texas Health Science Center at San Antonio, TX.

Received for publication March 21, 2008; accepted April 9, 2008.

Reprints: Carlos Andres Rojas, MD, 5225 Bayshore Blvd, Tampa, FL 33611 (e-mail:

There was no funding received.

© 2009 Lippincott Williams & Wilkins, Inc.