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.
TayyareciYTaş tanCPBayazitPAkarHYilmazUOzalpT. Extrapleural hematoma, a rare post-operative complication of coronary bypass grafting with left internal mammary artery. Anadolu Kardiyol Derg2008; 8: E6–E6.
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SumidaHOnoNTeradaY. Huge extrapleural hematoma in an anticoagulated patient. Gen Thorac Cardiovasc Surg2007; 55: 174–176.
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KonenOHertzMKleinHOKonenEZissinR. Extrapleural hematoma as an unexpected finding on a follow-up chest X-ray after coronary surgery. Eur J Radiol2002; 44: 225–227.
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PoyrazASKilicDGultekinBOzulkuMHatipogluA. Extrapleural hematoma: when is surgery indicated?Monaldi Arch Chest Dis2005; 63: 166–169.
