Expanding extrapleural hematoma from rib fractures after cardiac surgery

Marco Agrifoglio; Stefano Zoli; Marco Gennari; Andrea Annoni; Gianluca Polvani

doi:10.1177/0218492312454858

Expanding extrapleural hematoma from rib fractures after cardiac surgery

Marco Agrifoglio, Stefano Zoli, Marco Gennari, Andrea Annoni, Gianluca Polvani

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	366-368
Number of pages	3
Journal	Asian Cardiovascular and Thoracic Annals
Volume	21
Issue number	3
DOIs	https://doi.org/10.1177/0218492312454858
Publication status	Published - Jun 2013

Keywords

Aortic aneurysm
coronary artery bypass
hematoma
postoperative complications
rib fractures

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Surgery
Pulmonary and Respiratory Medicine

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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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AU - Zoli, Stefano

AU - Gennari, Marco

AU - Annoni, Andrea

AU - Polvani, Gianluca

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AB - 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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KW - coronary artery bypass

KW - hematoma

KW - postoperative complications

KW - rib fractures

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