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Journal of Tropical Pediatrics Advance Access originally published online on July 8, 2008
Journal of Tropical Pediatrics 2008 54(6):420-421; doi:10.1093/tropej/fmn055
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© The Author [2008]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Reports

Severe Mitral Regurgitation and Hepatopulmonary Hydatid Cysts: What Should Be Treated First?

Julio C. Vasqueza, Jacob DeLaRosaa, Efrain Montesinosb, Luis Rojasb, Julio Peraltab and Juan J. Leona

aPortneuf Medical Center and Idaho State University, Pocatello, ID 83201, USA
bThoracic and Cardiovascular Surgery Program, Dos de Mayo National Hospital, Lima, Peru

Correspondence: Julio C. Vasquez, MD, Portneuf Medical Center, 777 Hospital Way, Pocatello, ID 83201, USA. Tel.: 208-239-2580; Fax: 208-239-2589. E-mail <juvasquez{at}yahoo.com>.


  Abstract

Hydatid cyst can simultaneously affect the liver and lung. Some patients might have additional comorbidities that can make management more challenging. Here, we present a 10-year-old boy with hepatopulmonary hydatid cysts and severe mitral regurgitation, who was successfully managed with a staged surgical approach treating the lung first, followed by the liver and finally, the heart.

Key Words: hydatid cyst • lung • liver • mitral regurgitation • mitral valve cleft


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