Persistent Pleural Effusion after Open Heart Surgery: Giant Hydatid Cyst of the Liver and its Demonstrative Images. A Case Report


  • Muhip Kanko
  • Haluk Akbas
  • Tuba Liman
  • K. Turan Berki



Background: In approximately 50% of the patients who have undergone coronary artery bypass surgery (CABG), pleural fluid collection occurs at the early postoperative period and resolves spontaneously.

Case Report: CABG was performed on a 54-year-old man. In the early postoperative period, the chest roentgenogram revealed right pleural collection. The preoperative and the postoperative hepatic function tests were normal. MR scanning revealed a giant hydatid cyst at the apex of the liver. The cyst was excised through thoracotomy transphrenically and primary capitonage was applied.

Conclusions: In the persistent right pleural effusion that occurs after open heart surgery hydatid cyst of the liver should be remembered, especially in the endemic regions.


Cohen ML, Finch IJ. 1994. Transcatheter intrapleural urokinase for loculated pleural effusion. Chest 105:1874-6.nHurlbut D, Myers ML, Lefcoe M, Goldbach M. 1990. Pleuropulmonary morbidity: internal thoracic artery versus saphenous vein graft. Ann Thorac Surg 50:959-64.nKurul IC, Topcu S, Altinok T, et al. 2002. One-stage operation for hydatid disease of lung and liver: principles of treatment. J Thorac Cardiovasc Surg 24(6):1212-5.nTopcu S, Kurul IC, Altinok T, Yazici U, Demir A. 2003. Giant hydatid cysts of lung and liver. Ann Thorac Surg 75(1):292-4.nRolla G, Fogliati P, Bucca C, et al. 1994. Effect of pleurotomy on pulmonary function after coronary artery bypass grafting with internal mammary artery. Respir Med 88:417-20.nVargas FS, Cukier A, Hueb W, Teixeira LR, Light RW. 1994. Relationship between pleural effusion and pericardial involvement after myocardial revascularization. Chest 105:1748-52.nLight RW, Rogers JT, Cheng D-S, Rodriguez RM. 1999. Cardiovascular surgery associates: large pleural effusions occurring after coronary artery bypass grafting. Ann Intern Med 130:891-6.nDaganou M, Dimopoulou I, Michalopoulos N, et al. 1998. Respiratory complications after coronary artery bypass surgery with unilateral or bilateral internal mammary artery grafting. Chest 113:1285-9.n



How to Cite

Kanko, M., Akbas, H., Liman, T., & Berki, K. T. (2005). Persistent Pleural Effusion after Open Heart Surgery: Giant Hydatid Cyst of the Liver and its Demonstrative Images. A Case Report. The Heart Surgery Forum, 8(5), E378-E379.