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    A Rare Hydatid Cyst Involvement: Bilateral Pulmonary Artery (Case Report)
    (2010) Abakay A.; Gümüş H.; Tanrikulu A.C.; Atilgan Z.A.; Avci A.
    Hydatid cyst is a parasitic disease that may involve many organs. Hydatid cyst with pulmonary artery involvement is a very rarely encountered form. It was aimed to present a rare bilateral pulmonary artery involvement determined in a 61-year-old male case with hydatid cyst. In our case, the lesions were determined in many segments of bilateral lungs, right atrium lateral wall of the heart and in many branches of bilateral pulmonary artery. Pathological evaluation of the patient underwent surgery for the cardiac mass revealed hyda-tid cyst. The patient, who refused the proposal of surgery for the lesions in lungs and pulmonary artery, was given medical drug therapy. We think that it may be helpful to include hyda-tid cyst in prediagnosis list for the patient applied to a doctor with multiple cystic or nodular images.
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    Ventricular septal defectas a consequence of stab wound: Two-year follow-up without repair: Case report
    (2010) Ender Topal A.; Eren M.N.; Iltümür K.; Gümüş H.
    Many cases with penetrating cardiac injury are later diagnosed to have suffered injury also to one of the intracardiac structures, mostly interventricular septum. Even ventricular septal defect (VSD) was diagnosed preoperatively, immediate repair is not recommended unless intractable heart failure develops as VSD can shrink or even spontaneously close with time. We present a case of traumatic VSD whose VSD was diagnosed on the postoperative fifth day. He was followed up along two years without repair. Although defect size has enlarged, pulmonary-to-systemic blood flow ratio decreased to 0.94 from 1.4. It may be recommended that if a patient is asymptomatic there is no point in insisting on immediate VSD repair. Copyright © 2010 by Türkiye Klinikleri.