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

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.

Kalbi Çepeçevre Saran Multipl Akciðer ve Mediastinal Kist Hidatik: Olgu Sunumu

Kist hidatik, çoðunlukla Echinococcus granulosis’den kaynaklanan, ülkemizde sýklýkla görülen paraziter bir hastalýktýr. Bu makalede tüm major vasküler yapýlarý invaze eden ve kalbi bütünüyle dolduran multipl akciðer ve mediastinal kist hidatiði olan 31 yaþýndaki kadýn olgu tartýþýlmýþtýr. 2014 yýlýnda sol ventrikül duvarýnda multipl kistik kaviteler görülmesi üzerine kalp ve damar cerrahisi kliniði tarafýndan operasyona alýnarak sol ventrikül duvarýndaki kist eksize edilmiþ. 2017 yýlýnda sað akciðer alt lob superiorda geliþen kistler eksize edilmiþ. Ýleri derecede perikardiyal yapýþýklýk nedeniyle kardiyak kistler eksize edilememiþ. 2022 Kasým ayýnda hastada tekrar kalbin tüm boþluklarýnda ve ana vasküler yapýlarda yaygýn kistik oluþumlar saptanmýþ. Önceki operasyonunda yaygýn perikardiyal yapýþýklýklar görülmesi ve kalbin tüm boþluklarýný dolduran ve kalbi çepeçevre saran kistleri olan hastanýn operasyonunun ileri derecede morbid olmasý nedenleriyle kalp damar ve göðüs cerrahisi tarafýndan inoperabl olarak kabul edildi. Hasta 2014 yýlýndan itibaren günümüze kadar poliklinik kontrolleri ile takip edilmektedir.