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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Author Name: Feridoun Sabzi 1, Reza Faraji
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Keywords: Ascending Aorta Hydatid Cyst Mediastinum Aortic Aneurysm
ISSN: 2251-9130
EISSN: 2251-9149
EOI/DOI:
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