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A Journal on Surgery

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Chirurgia 2010 December;23(6):301-3

language: English

Giant myoepicardial cyst

Altemur Karamustafaoglu Y., Mammedov R., Yoruk Y.

Department of Thoracic Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey


Cardiac echinococcosis is a rare disease, which may involve almost any part of the heart, most often located in ventricular myocardium. Treatment differs depending on the location and the complications. Most of the cysts, which are in the ventricular myocardium, can be resected without cardiopulmonary bypass (CPB). Two dimentional echocardiography (TDE), computed tomography, and magnetic resonance imaging are essential for diagnosis in most patients. A 55-year-old female patient who had undergone right thoracotomy for lung cyst hydatid twenty-seven years ago, was admitted with fatigue. Chest X ray showed left lower zone consolidation with right cardiac shift. TDE showed myocardial 10x15 cm cystic lesion with left ventricular shift. Thorax CT revealed giant cardiac cyst filling left lower thorax. At off pump surgical exploration with left anterior thoracotomy, pericardial free reactional fluid was aspirated. Cystotomy was applied over epicardium of left ventricle. Multiple ruptured and intact cysts were removed via epicardiotomy. Postoperative period was uneventful.

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