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There are few case reports in the literature about the cardiac involvement in this tumor-like disease that primarily involves the liver. Although the liver is the most commonly affected organ, other organs may also be affected, including the heart. A 62-year-old male patient, who had been operated three years ago due to hepatic alveolar cyst hydatid, was admitted to the General Surgery clinic with complaints of dyspnea and abdominal pain, and as recurrence was observed in the computed tomography of the patient who had cardiac involvement. In cases with liver AE, other organs must also be evaluated for involvement. [ABSTRACT FROM AUTHOR]

In this study, it was aimed to investigate the general distribution and characteristics of hydatid cyst (HC) cases in society by a single-center comprehensive study. Three thousand ninety consecutive patients who were followed up and treated for HC in our hospital between January 2001 and December 2020 were analyzed retrospectively. It was determined that HC was seen more in males than females (54.84% and 45.16%, respectively) in childhood and more in females than males in adulthood (59.89% and 40.11%, respectively, P < 0.001). Regarding the living areas, 82.01% of the cases were living in the rural area and 17.99% in the city center (P < 0.001). It was observed that the cases increased significantly in the second ten years (72.36%) compared to the first 10 years (27.64%) (P < 0.001). At least one of the liver or lungs was involved in 95.08% of the cases. The liver was involved in 80.23% of the cases (66.87% in children, 84.94% in adults, P < 0.001) and the lung in 22.91% (38.59% in children, 17.38% in adults, P < 0.001). Other regions' involvement percentages were as follows: spleen 2.36%, musculoskeletal system 1.59%, kidneys 1.13%, intracranial region 0.91% (2.61% in children, 0.31% in adults, P < 0.001), omentum 0.91%, mediastinum 0.61%, cardiac region 0.58%, pelvic cavity 0.58%, diaphragm 0.55%, pancreas 0.13%, retroperitoneal area 0.13%, ovarian region 0.13%, uterine wall 0.06%, thyroid glands 0.03%, and nasal cavity 0.03%. HC ratio has increased in recent years. Liver involvement is more common in adults than children. Lung and intracranial involvement are more common in children than in adults. [ABSTRACT FROM AUTHOR]

Objective: Alternative energy sources such as cryoablation and radiofrequency ablation are effective in converting atrial fibrillation to sinus rhythm in patients with mitral valve replacement and their complication rates are lower. The effects of cryoablation and radiofrequency ablation were studied postoperative in patients with atrial fibrillation who underwent mitral valve surgery in our clinic between 2014 and 2020. Methods: In 96 patients with mitral valve replacement and atrial fibrillation who underwent the Cox maze I procedure Cryothermal (n=48; 54.5%) and radiofrequency (n=40; 46.5%) energy was used. 48 patients, including 25 women and 15 males, got radiofrequency treatment. 48 patients, including 28 women and 20 men, underwent cryoablation. Atrial fibrillation had been present in every patient for at least six months previous to surgery Patients were contacted for follow-up assessments between week one to six months after being released from the hospital. It was found that the energy source used, left atrial diameter, left ventricular ejection percent, and body mass index all have a causative association with the recurrence of atrial fibrillation. Results: Patients who had radiofrequency or cryoablation had sinus rhythm maintenance rates of 80% and 85% at postoperative discharge and 71% and 79% at six months following surgery, respectively. Although there was no significant difference, atrial fibrillation recurrence was seen at a lower rate in the cryoablation group. Atrial fibrillation recurrence rate was 2.8 times higher in patients with left atrial diameter over 52. The rate of atrial fibrillation recurrence was 3.5 higher in those with a body mass index above 25. The rate of atrial fibrillation recurrence was 3.9 times higher in patients with a left ventricular ejection fraction below 40%. A causal relationship between the recurrence of atrial fibrillation and the factors studied has been established. Conclusion: The surgical management of atrial fibrillation with thermal ablation techniques is beneficial. In our study, atrial fibrillation can be reverted to sinus rhythm more effectively using cryoablation than radiofrequency ablation, while there is no discernible difference between the two. The impact of demographic factors on the recurrence of atrial fibrillation is evident in this study. [ABSTRACT FROM AUTHOR]

Objective: In the present study, we aimed to retrospectively investigate the early and late results of different surgical treatment techniques applied in different age groups with coarctation of the aorta (CoA). Materials and Methods: Between January 2007 and February 2017, 26 patients (12 males, 14 females; mean age: 12.2±12.4 years; range: 29 days-34 years) who underwent surgery with the diagnosis of CoA were evaluated. Overall, 11 of these patients (42.3%) were in the infantile period, whereas 15 patients (57.7%) aged between 6 and 34 years. Resection and end-to-end anastomosis were performed in 13 patients (50%). Bypass grafting was performed in six patients (23.1%), and patch plasty was performed in seven patients (26.9%). Results: A patient (3.8%) who was operated on during the infantile period died early, whereas another patient (3.8%) died 2 years after the surgery. Recoarctation was detected in two patients. A patient underwent balloon dilatation, whereas another patient underwent balloon dilatation and stenting. In patients who underwent resection and end-to-end anastomosis based on postoperative echocardiography results during follow-up, a lower statistically significant gradient was observed compared with the preoperative period. Despite the decrease in the left ventricular systolic diameter (LVSD) and the increase in the ejection fraction (EF) the decrease in LVSD and increase in EF were not statistically significant. In patients who underwent patch plasty or graft interposition, the low values of the gradient and left ventricular diastolic diameter in the postoperative follow-up were statistically significant. However, the decrease in LVSD and increase in EF were not statistically significant. Conclusions: Our clinical experience suggests that repairing with resection and end-to-end anastomosis is a more appropriate treatment option during the infancy, whereas patch plasty or bypass grafting may be preferred in advanced ages. [ABSTRACT FROM AUTHOR]

Discusses a study which analyzed several cases of penetrating cardiac injuries treated at Atatürk University hospital in Turkey. Classification of patients; Materials and methodology; Complications identified in resuscitated patients.

Acute appendicitis is uncommon after renal transplant. Infection with Candida albicans can produce serious complications by compromising the vascular anastomosis. In such cases, the origin of Candida albicans is often in the gastrointestinal system. Here, we report 2 uncommon complications that occurred in the same patient. A 27-year-old female renal transplant patient with appendicitis presented to our institution with acute graft failure. The patient was treated with an appendectomy and a transplant nephrectomy. Subsequently, the patient had a mycotic pseudoaneurysm rupture of the external iliac artery secondary to Candida albicans infection that originated possibly in the gastrointestinal system. This complication was further treated with a cross-femoral bypass. The occurrence of these 2 complications together is rare.