Abstract
A 67-year-old man underwent CABG surgery. The patient initially was stable in the first two days postoperatively. Acute unstable hemodynamics occurred on the third day including acute hypotension, tachycardia, and dyspnea. High-dose adrenergic support (inotropic and vasoactive medications) and volume repletion were required. The patient’s respiratory status continued to worsen, and intubation of the trachea and mechanical ventilation were needed, with a high concentration of inspired oxygen. The left pleural space was opened at the time of surgery and a chest tube was inserted, but it was “dry” at this time.
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