Large mediastinal hematomas not associated with aortic rupture. Case presentations and surgical approach.

Mediastinal hematomas not associated with aortic disruption are thought to be common entities, and it is generally believed that most will spontaneously resolve. However, large mediastinal hematomas can cause fluctuations in cardiorespiratory physiology and can even cause death. Three cases of mediastinal hematomas are presented, as well as their surgical approach. Mediastinal hematomas should be evacuated because of their potential morbidity and mortality.