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International Cardiovascular Research Journal
The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences
e-ISSN 2251-9149
p-ISSN 2251-9130
Outline
Ascending Aorta Hydatid Cyst Presenting as Pseudoaneurysm
Authors
1Preventive Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
*Corresponding Author: Corresponding author: Reza Faraji, Preventive Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran Email: [email protected]
Published online:Mar 01, 2017
Article type:Case Report
Received:Feb 10, 2016
Accepted:Jul 17, 2016
How to Cite:Sabzi F, Faraji R. Ascending Aorta Hydatid Cyst Presenting as Pseudoaneurysm. Int Cardiovasc Res J. 2017;11(1):e10537. doi:
Abstract
Aortic wall with its poor blood supply is a very rare location of Hydatid Cyst (HC) infestation and mediastinal HC is a rare presentation of human hydatidosis. Here, we reported a case of primary mediastinal HC invading the ascending aorta, which initially presented as an aortic aneurysm. The patient underwent open cardiac surgery with cardiopulmonary bypass for resection of the aortic wall HC. During surgical exploration, it was found that the HC had ruptured into blood stream and residual cyst cavity contained a large thrombosis. Thus, the patient underwent ascending aorta replacement and removal of the cyst with thrombotic material. It seems that the signs and symptoms of stroke were related to emboli of cyst contents or thrombotic material into cerebral circulation. Invasion of aortic wall by hydatidosis is an exceedingly rare presentation of HC in the anterior mediastinum that may be wrongly diagnosed as a pseudoaneurysm of ascending aorta. Our study patient had an uneventful recovery and one-year follow-up revealed no recurrence of HC in mediastinum.
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References
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Copyright
© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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