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Eur J Cardiothorac Surg 2007;31:558-560. doi:10.1016/j.ejcts.2006.11.044
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Hydatid cyst involving the aortic arch

Anil Z. Apaydina,*, Emrah Oguza, Mehdi Zoghib

a Department of Cardiovascular Surgery, Ege University Medical School Hospital, Izmir 35100, Turkey
b Department of Cardiology, Ege University Medical School Hospital, Izmir 35100, Turkey

Received 5 October 2006; received in revised form 22 November 2006; accepted 24 November 2006.

* Corresponding author. Tel.: +90 232 3904052; fax: +90 232 3390002. (Email: anil.apaydin{at}ege.edu.tr).

We report a very rare case of primary mediastinal hydatid cyst which invaded the ascending aorta and the aortic arch which initially presented as a cranial mass. Aortic wall is a very unusual site for the hydatid cysts. To the best of our knowledge, this is the first reported case of hydatid cyst located within the aortic arch lumen. Patient underwent ascending aortic and hemiarch replacement under hypothermic circulatory arrest and removal of the cyst. Patient had an uneventful recovery and has been on follow-up. Although the literature data are very limited, we believe that the aortic procedure of choice should be graft interpositon rather than patch repair.

Key Words: Hydatid disease • Aortic arch • Aortic surgery






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.