A Case of Echinococol Cyst of The Heart and Its Surgical Treatment

H. Tahsin KEÇELİGİL, Ferşat KOLBAKIR, Rüştü KALAÇ, M. Kâmuran ERK

Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi ABD, Samsun

A 37-year-old man was admitted with precordial pain and electrocardiographic apicoanterior ischemic changes. Chest roentgenogram revealed normal lungs with bulge on the apex of the heart. Computed tomography revealed 3.4x3.8 cm in size hypodense (8-10 HU) lesion in the left ventricular wall. On echocardiography a mass that moved with each contraction was found in the left ventricular cavity. Coronary angiography showed slightly anterior displacement of the left anterior descending branch of the left coronary artery with no obstruction present. The patient was operated under cardiopulmonary bypass. After enucleation of cyst the thin myocardium over the cyst was removcd and left ventricule was sutured over long felt strips. After an uncomplicated postoperative period, the patient was discharged on the tenth postoperative day.

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