0
ONLINE EXCLUSIVES
Ultrasound Corner |

A Women in Her 50s With Recent Coronary Artery Bypass Grafting Presenting With Right-Sided Chest PainRight-Sided Chest Pain After Bypass Graft

Muhammad Adrish, MD; Ariel L. Shiloh, MD
Author and Funding Information

From the Division of Critical Care Medicine, Department of Medicine, Albert Einstein College of Medicine, Jay B. Langner Critical Care Service, Montefiore Medical Center, Bronx, NY.

CORRESPONDENCE TO: Muhammad Adrish, MD, Division of Critical Care Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Critical Care Administration, 111 E 210th St, Bronx, NY 10467; e-mail: aadrish@hotmail.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(5):e171-e174. doi:10.1378/chest.14-0457
Text Size: A A A
Published online

Extract

A woman in her 50s with hypertension, diabetes mellitus, and coronary artery disease who underwent coronary artery bypass graft surgery 1 month prior was admitted to the hospital for right-sided chest pain of 1-day duration. The patient described the pain as sharp in nature, nonpleuritic, radiating to her right hand, and lasting for 2 to 3 min at a time. She denied cough, shortness of breath, diaphoresis, or palpitations but reported having fevers and chills 1 day prior to presentation. Her temperature was 38.7°C. Cardiac examination was normal except for mild tachycardia. No jugular venous distension was noted. The sternal incision site did not show erythema, swelling, or fluctuation, but chest wall tenderness was elicited along the right-side parasternal region of the second and third intercostal spaces. No sternal click was present. Laboratory results showed leukocytosis (17.9 × 103/μL) but otherwise normal electrolyte levels and renal function. Cardiac enzyme levels were normal, and no new ECG changes were noted. Chest radiography revealed no infiltrates, pulmonary edema, or effusions (Fig 1). Ceftriaxone was empirically initiated.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

Sternal Video 1

Case Presentation

Sternal Video 2

Case Presentation

Sternal Video 3

Case Presentation

Sternal Video 4

Case Presentation

Sternal Videos 1-4

Discussion

Running Time: 06:14

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Guidelines
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543