Expanding extrapleural hematoma from rib fractures after cardiac surgery

Asian Cardiovasc Thorac Ann. 2013 Jun;21(3):366-8. doi: 10.1177/0218492312454858.

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.

Keywords: Aortic aneurysm; coronary artery bypass; hematoma; postoperative complications; rib fractures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Coronary Artery Bypass / adverse effects*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / surgery*
  • Drainage
  • Hematoma / diagnosis
  • Hematoma / etiology*
  • Hematoma / therapy
  • Humans
  • Male
  • Rib Fractures / diagnosis
  • Rib Fractures / etiology*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome