A 59-year-old man with a history of hypertension undergoes

A 59-year-old man with a history of hypertension undergoes a successful subtotal colectomy and ileocolic anastomosis, without any signs of complication. On postoperative day 4, he develops sudden-onset shortness of breath. What’s the cause, and what happens next?
Which of the following is the most likely diagnosis?

  1. Malignant pericardial effusion with tamponade1)
  2. Massive pulmonary embolism
  3. Atelectasis
  4. Acute coronary syndrome
  5. Pneumonia