Past Medical History
Past history includes coronary artery disease (CAD), hypertension, dyslipidemia, diabetes mellitus, right below the knee amputation (BKA), end-stage renal disease (ESRD) on hemodialysis. A prior transthoracic echocardiogram (TTE) showed eccentric left ventricular hypertrophy with calculated ejection fraction between 35 to 40%, global hypokinesis, mild right atrial enlargement, normal-appearing tricuspid and pulmonic valves with mild to moderate tricuspid and pulmonic regurgitation. She was recently diagnosed with Invasive Ductal Carcinoma. She underwent mastectomy which was complicated by hematoma and she was discharged on wound vacuum assisted closure (VAC) due to persistent high output seroma. The VAC remains in-situ at the time of admission.