ALB and hepatitis B virus infection: It cannot be overlooked that our patient's pericardial effusion and hydrothorax could have been on account of the underlying hepatitis B, liver cirrhosis, and hypoproteinemia.[8] However, due to the character of hepatic hydrothorax and the manifestations of pleural effusions in different situations, as well as the unsatisfying result after an albumin infusion treatment, we finally judged that the light yellow drainage fluid is most likely lymph fluid caused by lymphoid tissues injury during the median sternotomy surgery.