title: Expanding extrapleural hematoma from rib fractures after cardiac surgery.
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.
authors.affiliation: Department of Cardiovascular Sciences, University of Milan, Centro Cardiologico Monzino, IRCCS, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Agrifoglio
authors.forename: Stefano
authors.initials: S
authors.lastname: Zoli
authors.forename: Marco
authors.initials: M
authors.lastname: Gennari
authors.forename: Andrea
authors.initials: A
authors.lastname: Annoni
authors.forename: Gianluca
authors.initials: G
authors.lastname: Polvani
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004322:Drainage; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D012253:Rib Fractures / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aortic aneurysm; coronary artery bypass; hematoma; postoperative complications; rib fractures