Mediastinal hematoma post coronary artery bypass graft

Case contributed by Dr Nolan Walker

Presentation

Day 1 post CABG. Hypoxic.

Patient Data

Age: 50 years
X-ray

Post-operative

Mediastinal surgical clips and sternotomy wires. Left cardiomediastinal contour appears widened and is indistinct. 

Lungs and pleural spaces are clear. Cardiomediastinal contour is normal. 

CT performed 2 days after the post op CXR confirms a mediastinal hematoma.

Case Discussion

Interpretation of the mediastinum is difficult in the AP projection. Review of previous imaging can help.

In this case the new finding of an abnormal cardiac contour and new surgical clips, makes a post op hematoma very likely.

PlayAdd to Share

Case information

rID: 33994
Published: 2nd Feb 2015
Last edited: 14th Aug 2019
System: Chest, Cardiac
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.