PMC8084393_01
A. Jugular ingurgitation evidenced during physical examination; B. Transthoracic echocardiography, subcostal view. An echogenic mass close to the right atrium is observed (white arrow); LA : left atrium; LV : left ventricle; RA : right atrium; RV : right ventricle; C. Computed tomography scan, frontal axis, where a massive mass to the right of the left ventricle can be appreciated (white asterisk); D. Computed tomography scan, horizontal axis. The mass (white asterisk), compressing right cavities; E. The hematoma removed, in the hands of a surgeon; F. The hematoma removed.
cardj-26-5-616f1.jpg
PMC8084393_01_cardj-26-5-616f1.jpg
f1-cardj-26-5-616
A physical examination exhibited jugular ingurgitation (Fig. 1A), tachycardia and hypotension. An emergent transthoracic echocardiography revealed a mass close to the right atrium (Fig. 1B, arrow). Because of the said finding, a computed tomography scan was performed which showed an 11 x 9 cm retrosternal mass that was compressing the right cavities and posterior displacement of the heart (Fig. 1C, D, asterisk). She was brought back to surgery, where a massive retrosternal hematoma was discovered (Fig. 1E, F) with minimal active bleeding caused by three sternal suture points.