A 79-year-old man underwent coronary artery bypass grafting and ascending aorta prosthetic replacement for aneurysm at our Institution. His postoperative course was characterized by rapid onset of hypotension and anemia. Re-exploration found no surgical source of bleeding. A chest computed tomography showed a huge extrapleural hematoma caused by rib fractures. Percutaneous chest drainage was effective, and the patient recovered quickly. Follow-up computed tomography confirmed a good result.
Expanding extrapleural hematoma from rib fractures after cardiac surgery / M. Agrifoglio, S. Zoli, M. Gennari, A. Annoni, G.L. Polvani. - In: ASIAN CARDIOVASCULAR AND THORACIC ANNALS. - ISSN 0218-4923. - 21:3(2013 Jun), pp. 366-368. [10.1177/0218492312454858]
Expanding extrapleural hematoma from rib fractures after cardiac surgery
M. Agrifoglio;G.L. Polvani
2013
Abstract
A 79-year-old man underwent coronary artery bypass grafting and ascending aorta prosthetic replacement for aneurysm at our Institution. His postoperative course was characterized by rapid onset of hypotension and anemia. Re-exploration found no surgical source of bleeding. A chest computed tomography showed a huge extrapleural hematoma caused by rib fractures. Percutaneous chest drainage was effective, and the patient recovered quickly. Follow-up computed tomography confirmed a good result.
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