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Expanding extrapleural hematoma from rib fractures after cardiac surgery

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.