Kalbi �epe�evre Saran Multipl Akci�er ve Mediastinal Kist Hidatik: Olgu Sunumu

Alizade, Nigar; Karc�, Emrah; �anl�, Ayd�n; Karabay, D�ndar �zalp

Cilt : 12 Say� : 3 Y�l : 2024

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Kalbi �epe�evre Saran Multipl Akci�er ve Mediastinal Kist Hidatik: Olgu Sunumu [Respir Case Rep]

Respir Case Rep. 2023; 12(3): 81-84 | DOI: 10.5505/respircase.2023.59862

Kalbi �epe�evre Saran Multipl Akci�er ve Mediastinal Kist Hidatik: Olgu Sunumu

Nigar Alizade¹, Emrah Karc�¹, Ayd�n �anl�¹, D�ndar �zalp Karabay²
¹Dokuz Eyl�l �niversitesi T�p Fak�ltesi, G��s Cerrahisi Anabilim Dal�, �zmir
²Dokuz Eyl�l �niversitesi T�p Fak�ltesi, Kalp Ve Damar Cerrahisi Anabilim Dal�, �zmir

Kist hidatik, �o�unlukla Echinococcus granulosis�den kaynaklanan, �lkemizde s�kl�kla g�r�len paraziter bir hastal�kt�r. Bu makalede t�m major vask�ler yap�lar� invaze eden ve kalbi b�t�n�yle dolduran multipl akci�er ve mediastinal kist hidati�i olan 31 ya��ndaki kad�n olgu tart��lm��t�r. 2014 y�l�nda sol ventrik�l duvar�nda multipl kistik kaviteler g�r�lmesi �zerine kalp ve damar cerrahisi klini�i taraf�ndan operasyona al�narak sol ventrik�l duvar�ndaki kist eksize edilmi�. 2017 y�l�nda sa� akci�er alt lob superiorda geli�en kistler eksize edilmi�. �leri derecede perikardiyal yap��kl�k nedeniyle kardiyak kistler eksize edilememi�. 2022 Kas�m ay�nda hastada tekrar kalbin t�m bo�luklar�nda ve ana vask�ler yap�larda yayg�n kistik olu�umlar saptanm��. �nceki operasyonunda yayg�n perikardiyal yap��kl�klar g�r�lmesi ve kalbin t�m bo�luklar�n� dolduran ve kalbi �epe�evre saran kistleri olan hastan�n operasyonunun ileri derecede morbid olmas� nedenleriyle kalp damar ve g��s cerrahisi taraf�ndan inoperabl olarak kabul edildi. Hasta 2014 y�l�ndan itibaren g�n�m�ze kadar poliklinik kontrolleri ile takip edilmektedir.

Anahtar Kelimeler: Kardiyak kist hidatik, hidatik kist, multipl kist.

Multiple Lung and Mediastinal Hydatid Cysts Covering the Heart: A Case Report

Nigar Alizade¹, Emrah Karc�¹, Ayd�n �anl�¹, D�ndar �zalp Karabay²
¹Department of Thoracic Surgery, Dokuz Eyl�l University Faculty of Medicine, �zmir, T�rkiye
²Department of Cardiovascular Surgery, Dokuz Eyl�l University Faculty of Medicine, �zmir, T�rkiye

Hydatid cyst is a parasitic disease frequently seen in our country, mostly caused by Echinococcus granulosis. In this article, a 31-year-old female patient with multiple lung and mediastinal hydatid cysts invading all major vascular structures and completely filling the heart is discussed. In 2014, multiple cystic cavities were seen in the left ventricular wall, and it was excised by the cardiovascular surgery. In 2017, cysts that developed in the right lower lobe were excised. Cardiac cysts could not be excised due to advanced pericardial adhesion. In November 2022, widespread cystic formations were detected in all cavities of the heart and main vascular structures. The patient, who had extensive pericardial adhesions and cysts filling all the cavities of the heart and surrounding the heart, was considered inoperable by the cardiovascular and thoracic surgeons because the operation was extremely morbid. The patient has been followed up with outpatient clinic controls since 2014.

Keywords: Cardiac hydatid cyst, hydatid cyst, multipl cyst.

Sorumlu Yazar: Nigar Alizade, T�rkiye
Makale Dili: �ngilizce

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