ABSTRACT
Cardiac hydatid is a rare disease with varied presentation. We report a unique case of left ventricular epicardial hydatid cyst causing left circumflex artery compression. Cardiac hydatids have to be surgically treated on diagnosis because of the high risk of catastrophic rupture. We discuss the surgical principles and the other adjuncts to avoid recurrence.
Subject(s)
Arterial Occlusive Diseases/etiology , Echinococcosis/diagnosis , Heart Ventricles/parasitology , Arterial Occlusive Diseases/diagnostic imaging , Arterial Occlusive Diseases/surgery , Coronary Angiography , Echinococcosis/surgery , Female , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , Middle AgedABSTRACT
Bronchogenic cysts are the most common cystic masses in the mediastinum. They are generally asymptomatic and are detected incidentally on chest radiographs as a smooth homogeneous mediastinal/pulmonary opacity. Intrapleural, intraesophageal, and pericardial rupture of these cysts have been commonly reported. We report a case of life-threatening intrabronchial rupture of a subcarinal bronchogenic cyst successfully treated by an emergency thoracotomy deroofing.
Subject(s)
Bronchogenic Cyst/complications , Adult , Bronchi , Bronchogenic Cyst/surgery , Humans , Male , Rupture, SpontaneousABSTRACT
Coronary artery fistulae are rare anomalies encountered in 0.1-0.2% of angiographic series. We recently encountered a patient evaluated for mitral valve disease who incidentally had bilateral coronary artery fistulae detected on preoperative angiogram. These fistulae drained into the pulmonary artery. She underwent successful transpulmonary closure of the fistula along with mitral valve repair. We discuss the embryological basis of this anomaly and the clinical as well as surgical significance.
