Metastatic renal cell carcinoma-associated pleural effusion after coronary artery bypass grafting.
Pleural effusions after coronary artery bypass grafting (CABG) occur in up to 89% of patients undergoing the procedure. Effusions present days to months after surgery, and fluid characteristics relate to timing factors. Most of the effusions are left-sided and resolve spontaneously. Pleural effusions requiring treatment occur in a small percentage of patients who have undergone CABG. Post-CABG pleural effusions in temporal relation to malignant effusions are not widely reported. This report describes a 50-year-old man presenting with a malignant left-sided pleural effusion 3 months after CABG, with characteristics resembling a late post-CABG effusion.
Rowlands
Deborah M
DM
Department of Internal Medicine, St. Luke's Hospital and Health Network, 801 Ostrum St, Bethlehem, PA 18015, USA. D_rowlands@hotmail.com
Zasik
Joseph M
JM
Reed
James F
JF
D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary*; D001026:Coronary Artery Bypass; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000175:diagnosis*; D016066:Pleural Effusion, Malignant / Q000175:diagnosis*; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000556:secondary; D011183:Postoperative Complications / Q000175:diagnosis*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000556:secondary