Background: Postoperative bleeding remains an important source of morbidity following Bentall procedures despite numerous technical refinements aimed at improving hemostasis. We evaluated whether a modified hybrid cardioplegia strategy incorporating intermittent blood cardioplegia during aortic root reconstruction could reduce bleeding-related complications compared with a conventional double-dose del Nido strategy. Methods: A total of 103 consecutive patients who underwent Bentall procedures were retrospectively analyzed. Patients were divided according to the myocardial protection strategy employed: conventional double-dose del Nido cardioplegia (Group 1, n = 46) and a modified hybrid strategy consisting of initial del Nido cardioplegia followed by intermittent blood cardioplegia during root reconstruction (Group 2, n = 57). The primary endpoint was postoperative re-exploration for bleeding during the index hospitalization. Additional bleeding-related outcomes included 24 h drainage volume and blood product transfusion requirements. Secondary endpoints were intensive care unit (ICU) stay, hospital stay, and in-hospital mortality. Results: Baseline characteristics, cardiopulmonary bypass times, and aortic cross-clamp durations were comparable between groups. Group 2 demonstrated significantly lower 24 h postoperative drainage volumes compared with Group 1 (450 [350–550] mL vs. 550 [400–650] mL, p = 0.005). Postoperative re-exploration for bleeding occurred significantly less frequently in Group 2 than in Group 1 (3.5% vs. 19.6%, p = 0.011). No significant differences were observed in red blood cell transfusion (p = 0.112), fresh frozen plasma transfusion (p = 0.339), or platelet transfusion requirements (p = 0.147). Mechanical ventilation duration (p = 0.423), intensive care unit stay (p = 0.342), and hospital stay (p = 0.103) were similar between groups. In-hospital mortality did not differ significantly between the groups (4.3% vs. 3.5%, p = 1.000); however, the study was not powered to detect differences in mortality because of the low number of events. Conclusions: In patients undergoing Bentall procedures, a modified hybrid cardioplegia strategy incorporating intermittent blood cardioplegia during aortic root reconstruction was associated with lower postoperative drainage volumes and fewer re-explorations for bleeding compared with a conventional double-dose del Nido strategy. These findings suggest that cardioplegia delivery may contribute to intraoperative hemostatic optimization beyond its traditional role in myocardial protection. Larger prospective studies are warranted to validate these observations.

Aim: Chronic venous insufficiency (CVI) is a condition that results from obstruction, valve insufficiency, dysfunction of calf muscle pump, or their combinations. This study analyzed the risk factors and demographic characteristics of CVI in nurses in Türkiye. Additionally, it seeks to identify the total number of patients treated at medical centers in 2022 and assess the prevalence of CVI. Material and Methods: This multicenter, descriptive, and cross-sectional study was conducted with the participation of nurses working in 18 centers. Nurses completed a questionnaire that included their demographic information and venous insufficiency risk factors, and the Venous Insufficiency Epidemiological and Economic Study-Quality of Life Questionnaire. Researchers also completed the Standard CEAP Form Section C. The cases were divided into 2 groups: CVI (-) group (n=776, 43.5%) and CVI (+) group (n=1010, 56.5%). Results: A total of 1786 nurses participated in this study. Older age (>30-39 years), female gender, ≥2 pregnancies, ≥2 childbirths, years in the profession (>5-15 years), family history, and night cramps were identified as risk factors for CVI (p<0.001). No significant difference was found between smoking, body mass index, and CVI status (p>0.05). Hypertension, diabetes, and a history of deep vein thrombosis were the most common coexisting diseases. With a one-unit increase in age, risk of CVI increased 1.1-fold, family history of VV increased CVI risk 1.9-fold and presence of nocturnal night cramps increased risk of CVI 2.6-fold. The prevalence of CVI in 2022 was found to be 22.66% in this study. Conclusion: Older age, female gender, ≥2 pregnancies, ≥2 childbirths, years in the profession, family history, and night cramps are identified as risk factors for CVI in nurses. Common comorbid diseases include hypertension, diabetes, and a history of DVT. Pregnancy, particularly with multiple occurrences, stands out as a critical period for CVI. Reported symptoms in CVI (+) nurses include leg pain, swelling, heaviness, restless legs, and throbbing. Nurses demonstrate a higher incidence of CVI compared to other professions, highlighting an occupational risk. These findings stress the importance of preventive measures for nurses.

Background:This study aims to examine the relationship between the development of coronary collateral circulation and serum elabela levels.Methods:Between January 2020 and December 2021, a total of 50 control individuals (29 males, 21 females; mean age: 63.2±10.0 years; range, 52 to 73 years) with no significant coronary artery disease as confirmed by angiography (Group 1) and 100 patients (55 males, 45 females; mean age: 66.6±9.6 years; range, 56 to 75 years) with coronary artery disease were included. The patients were further divided into two equal groups according to the Rentrop classification as poor (Group 2) and good coronary collateral circulation (Group 3). All groups were compared in terms of several parameters, particularly serum elabela levels.Results:Serum elabela levels were found to be statistically higher in the group with good collateral than the other groups (p<0.05). Low serum elabela levels increased the risk of developing weak collaterals by 2.43 times.Conclusion:The elabela protein is directly related to good collateral development and can be considered a potential agent for treatment.

The abstract book of the 21st Congress of Turkish Society for Vascular and Endovascular Surgery, 24th Congress of Asian Society for Vascular Surgery (ASVS) 18th Asian Venous Forum, 12th Congress of Turkish Society of Phlebology

Abstract Background: İn coronary artery disease, the positive contribution of the presence of coronary collateral circulation to the course of the disease is known. As for the factors that trigger the formation of collateral circulation and interactions at the cellular level, no satisfactory results have yet been reached. Studies on this issue will also pave the way for potential treatment opportunities in the future. The aim of this study is to try to determine the relationship between coronary collateral circulation and elabela and apelinergic system.Methods: This is a cross sectional study. Totally 150 subjects were included the study. Demographic data, laboratory test data, and comorbidities were collected from the hospital data. Welch, One Way Anova, Chi-Square, and Kruskal-Wallis H tests were used for comparison of the groups. Games-Howell, Tukey HSD, and Dunn tests were used for post-hoc analysis where necessary.Results: Evaluating the differences between the groups in terms of the parameters examined. Looking at which groups the differences arise from; it was observed that the statistically significant difference observed for elabela, HDL-C, NT-ProBNP, LVEF and HS-C-Reactive protein was between all groups separately.Conclusions: In this study, we aim to reveal a positive relationship between the development of coronary collateral vessels and apelinergic systems. Our results indicated that Elabela protein could be evaluated as a potential agent for treatment.

Alkaptonuria is a rare inherited metabolic disease caused by homogentisic acid oxidase enzyme deficiency. Homogentisic acid formed during phenylalanine and tyrosine metabolism cannot be further metabolized and accumulates due to this enzyme deficiency. Some of the homogentisic acid that cannot be removed by metabolism is excreted with urine, some of it causes this accumulation known as ochronosis, which is characterized by dark pigmented color change in tissues. The classic clinical triad of the disease is darkening of the urine color, degenerative arthritis in the joints and dark colored pigmentation in the connective tissue. Herein, we present a case of ochronosis detected incidentally during aortic valve replacement with the diagnosis of aortic insufficiency.

Background/Aim: Carotid endarterectomy is a highly effective and safe operation for preventing the risk of stroke in patients with symptomatic internal carotid artery stenosis. Several surgical techniques were described and available: Conventional carotid endarterectomy (CCEA) and eversion carotid endarterectomy (ECEA) are the two most common. Superiority of these two techniques to one another has not yet been clearly demonstrated. We aim to demonstrate the surgical and clinical experience of our institution regarding these two approaches. Methods: In this retrospective cohort study, forty-three consecutive patients operated for symptomatic carotid stenosis were divided into two groups according to the preferred surgical method (CCEA and ECEA), and compared in terms of postoperative hospital stay, use of shunts and antibiotics, early (30-day) complications, long-term restenosis, and mortality rates. Results: Demographic data and preoperative stenosis rates were similar between the two groups (P>0.05). In the CCEA group, subjects had a significantly longer clamping time (19.3 (4.1) vs 15.4 (3.4) min., P=0.002) and significant differences were found between operative time (35.1 (3.2) vs 28.7 (4.3) min) and need for shunting (25.7% vs 2.1%, P<0.001). CCEA patients had a higher percentage of antibiotic use (49.8% vs. 31.1%, P=0.04). Hematoma rates, complications during follow up, including stroke, heart attack, and mortality rate were similar between the groups, along with re-stenosis (P=0.754) and survival rates (P=0.241), according to Kaplan-Meier analysis. Conclusions: Our results showed that ECEA was a convenient surgical technique and more advantageous compared to CCEA with respect to early and long term follow up results. ECEA can be performed within a significantly shorter operative time and may decrease the necessity for shunting, although it may require specific experience.

OBJECTIVETo date, there is no consensus on the selection of type and size of prosthetic valve for aortic valve replacement (AVR). The aim of this study was to compare anatomical and functional changes occurring in the left ventricle after AVR with different sizes of mechanical valves.METHODSA total of 92 patients with serious aortic valve stenosis, who underwent AVR between March 2001 and June 2008 using mechanical valves of different sizes, were retrospectively analysed. The sizes of the mechanical valves were 19, 21, 23 and 25 mm. All patients were assessed preoperatively, and at six months and in the first, third and fifth years postoperatively. The left ventricle was assessed with electrocardiography, echocardiography and telecardiography and compared in the four patient groups, constituted according to the mechanical valve size used.RESULTSIn all groups, left ventricular mass and mass index, transvalvular aortic gradient, thicknesses of the interventricular septum and posterior wall, and left ventricular endsystolic and end-diastolic diameters had decreased significantly post surgery. Left ventricular ejection fraction and exercise capacity had increased significantly (p < 0.001). The most noteworthy anatomical and functional improvements were seen in patients who had received 23- and 25-mm mechanical valves.CONCLUSIONMechanical valve replacement should not be performed with small size valves because of the higher residual gradient.

ÖZ Amaç: Bu çalışmada koroner arter bypass greftleme sırasında proksimal aortik anastomoz destek cihazı ile deneyimlerimiz sunuldu. Ça­lış­ma­ pla­nı:­ Ocak 2006 Mayıs 2010 tarihleri arasında kliniğimizde proksimal aortik anastomoz destek cihazı kullanılarak baypas ameliyatı yapılan toplam 26 hasta (23 erkek, 3 kadın; ort. yaş 72.6±5.8 yıl; dağılım 55-81 yıl) retrospektif olarak incelendi. Proksimal anastomoz destek cihazı kullanım endikasyonları, koroner arter baypas greft ameliyatında proksimal aortta kalsifikasyon ve aterosklerotik plak varlığı ve redo koroner arter baypas greft ameliyatında ilaveten yetersiz proksimal aortik eksplorasyondu. Embolik olaylar, nörolojik komplikasyonlar, yoğun bakım ünitesinde kalış süresi ve mortalite oranı kaydedildi. Bul gu lar: On dokuz hastaya kardiyopulmoner baypas olmaksızın atan kalpte tek damar veya iki damar koroner arter baypas greftleme yapılırken, yedi hastaya kardiyopulmoner baypas eşliğinde atan kalpte üç damar koroner arter baypas greftleme yapıldı. Altı hastaya redo koroner arter baypas greftleme yapıldı. Hastaların hiçbirinde nörolojik komplikasyon, embolik olay veya mortalite gözlenmedi. So­nuç:­ Koroner arter baypas greftleme yapılan endikasyonlu hastalarda, proksimal aortik anastomoz destek cihazları proksimal anastomoz için büyük kolaylık oluşturmaktadır. Bu cihazların kullanımının koroner arter baypas greftleme sırasında meydana gelebilecek proksimal anastomoz yeri ile ilişkili komplikasyonları da azaltacağı kanaatindeyiz. Anah­tar­ söz­cük­ler: Koroner arter baypas greftleme; Enclose II anastomoz destek cihazı; proksimal anastomoz; proksimal aortik anastomoz destek cihazı. ABSTRACT Background:­This study aims to report our experiences with the proximal aortic anastomosis assist device during coronary artery bypass grafting. Methods: Between January 2006 and May 2010, a total of 26 patients (23 males, 3 females; mean age 72.6±5.8 years; range 55 to 81 years) who underwent bypass surgery using the proximal aortic anastomosis assist device in our clinic were retrospectively analyzed. The indications for the utilization of the device were the presence of proximal aortic calcifications and atherosclerotic plaques in coronary artery bypass graft surgery and insufficient proximal aortic exploration additionally in redo coronary artery bypass graft surgery. Embolic events, neurological complications, the length of intensive care unit stay, and mortality rate were recorded. Results:­ Off-pump single-vessel or two-vessel coronary artery bypass grafting without cardiopulmonary bypass was performed in 19 patients, while off-pump three-vessel coronary artery bypass grafting under cardiopulmonary bypass was performed in seven patients. Six patients underwent redo coronary artery bypass grafting. No neurological complications, embolic events or mortality were observed in any patients. Conclusion:­Proximal aortic anastomosis assist devices considerably facilitate proximal anastomosis in indicated patients undergoing coronary artery bypass grafting. We believe that the utilization of these devices may also reduce the proximal anastomosis site-related complications which may occur during coronary artery bypass grafting.

Purpose: Chronic Atrial Fibrillation (AF) is the most prevalent arrhytmia in patients undergoing cardiac surgery. In this study we aim to share our cryoablation experiences.Material and Methods: We performed 25 cryoablations during cardiac surgery in Adana Numune Education and Research Hospital between September 2013 and July 2014. Patients evaluated retrospectively. The operations were performed with the use of cardiopulmonary bypass (CPB) and cold blood cardioplegia.Results: Fourteen mitral valve replacement, 7 aortic valve replacement and mitral valve replacement, 1 aortic valve replacement and tricuspid repair, 2 coronary artery bypass grafting, 1 coronary artery bypass grafting and aortic valve repair were applied. A -50-(-90) degrees of cryoprobe temperature was applied about 120 seconds. No complications developed in any of the patiens. Postoperative first day, first week, third month and after one year electrocardiography (ECG) of the patiens has evaluated. The corelation between preoperative left atrial diameter (M mode echocardiography) and postoperative first year atrial fibrillation has been investigated with corelation analysis. After one year controlls showed that 17 of 25 patient restored sinus rhytm and 8 of 25 patiens has still atrial fibrillation rhytm.Conclusion: Cryoablation using nitrous oxide based device for the treatment of atrial fibrillation has been applied recently and we consider that it is safe and effective.

Purpose: Chronic Atrial Fibrillation (AF) is the most prevalent arrhytmia in patients undergoing cardiac surgery. In this study we aim to share our cryoablation experiences.Material and Methods: We performed 25 cryoablations during cardiac surgery in Adana Numune Education and Research Hospital between September 2013 and July 2014. Patients evaluated retrospectively.The operations were performed with the use of cardiopulmonary bypass (CPB) and cold blood cardioplegia.Results: 14 mitral valve replacement, 7 aortic valve replacement and mitral valve replacement, 1 aortic valve replacement and tricuspid repair, 2 coronary artery bypass grafting, 1 coronary artery bypass grafting and aortic valve repair were applied. A -50-(-90) degrees of cryoprobe temperature was applied about 120 seconds. No complications developed in any of the patiens. Postoperative first day, first week, third month and after one year electrocardiography (ECG) of the patiens has evaluated. The corelation between preoperative left atrial diameter (M mode echocardiography) and postoperative first year atrial fibrillation has been investigated with corelation analysis. After one year controlls showed that 17 of 25 patient restored sinus rhytm and 8 of 25 patiens has still atrial fibrillation rhytm.Conclusion: Cryoablation using nitrous oxide based device for the treatment of atrial fibrillation has been applied recently and we consider that it is safe and effective.

ÖzPurpose: Chronic Atrial Fibrillation (AF) is the most prevalent arrhytmia in patients undergoing cardiac surgery.In this study we aim to share our cryoablation experiences.Material and Methods: We performed 25 cryoablations during cardiac surgery in Adana Numune Education and Research Hospital between September 2013 and July 2014.Patients evaluated retrospectively.The operations were performed with the use of cardiopulmonary bypass (CPB) and cold blood cardioplegia.Results: Fourteen mitral valve replacement, 7 aortic valve replacement and mitral valve replacement, 1 aortic valve replacement and tricuspid repair, 2 coronary artery bypass grafting, 1 coronary artery bypass grafting and aortic valve repair were applied.A -50-(-90) degrees of cryoprobe temperature was applied about 120 seconds.No complications developed in any of the patiens.Postoperative first day, first week, third month and after one year electrocardiography (ECG) of the patiens has evaluated.The corelation between preoperative left atrial diameter (M mode echocardiography) and postoperative first year atrial fibrillation has been investigated with corelation analysis.After one year controlls showed that 17 of 25 patient restored sinus rhytm and 8 of 25 patiens has still atrial fibrillation rhytm.Conclusion: Cryoablation using nitrous oxide based device for the treatment of atrial fibrillation has been applied recently and we consider that it is safe and effective.

Background: This study aims to compare 980 nm wavelength endovenous laser ablation (EVLA) and VNUS ClosureFast radiofrequency ablation (RFA).Methods: Between November 2 012 and May 2 014, 178 symptomatic patients with unilateral or bilateral varicose veins were retrospectively analyzed. The patients were divided into two groups according to the treatment method applied. Over-knee EVLA was performed in 114 extremities of 99 patients (56 females, 43 males; mean age: 48 years; range 20 to 76 years), while 79 patients (47 females, 32 males; mean age: 45 years; range 18 to 72 years) underwent unilateral RFA. Only patients with insufficiencies on vena saphena magna (VSM) or on its branches and patients with a minimum VSM diameter of 4 mm at knee level and 7 mm on sapheno-femoral junction measured with colored Doppler ultrasound (US) were included in the study. After both procedures, the clinical signs and Doppler US results of patients at one year during follow-up were compared.Results: Based on Doppler US results, partial closure was identified in 4% of EVLA patients and in 1.25% of RFA patients. Burning sensation was less common in RFA patients. Among patients in whom the technique was successful, the presence of burning sensation, presence of at least one of the burning sensation or ecchymosis or presence of at least one of the burning sensation, ecchymosis, or pain was statistically significantly lower in RFA patients. Among all patients, 83% had burning sensation due to technical failure and this result was statistically significant.Conclusion: Our study results show that RFA is superior to EVLA method thanks to its high closure rate of VSM and less burning sensation.

Introduction: Coronary artery disease is usually seen in middle-aged and older population. Although coronary artery disease in young patients is relatively rare compare to older population, the incidence in young people have been increasing recently. In this retrospective study, we aimed to compare the perioperative characteristics and complications of young aged (<40 years) to midlle aged (40-60 years) patients retrospectively. Materials and methods: A total of 1592 patients who underwent isolated coronary artery bypass grafting operation were included in this retrospective study. Patients were divided into two groups according to age as young aged patients (Group 1; a total of 78 patients; 64 males, 14 females, mean age 36.7 +/- 33 years) and middle-aged patients (Group 2; a total of 1514 patients; 1183 males and 331 females, mean age 51.8+/-5.2 years) and preoperative, intraoperative and postoperative parameters were compared. Results: Smoking rates in Group 1 and low molecular density cholesterol levels in Group 2 were higher but it was not statistically significant. Cardiopulmonary bypass time, cross-clamp time, incidence of reoperation, amount of drainage and number of distal anastomoses were not significantly different between groups. Also development of newly onset atrial fibrillation, use of inotropic agents, intensive care stay time, amount of fresh whole blood used, use of left internal thoracic artery and intraaortic balloon pump seen in groups were not statistically significant. The incidence of delirium and time to discharge were significantly increased in Group 2. Hospital mortality rate of Group 2 was 0.39% (6 patients) whereas there was no hospital mortality in Group 1. Conclusion: The coronary bypass grafting operation can be performed in young aged patients with similar early postoperative results as in middle aged patients group. Thus we think that age has no major effect over the early postoperative results of isolated coronary artery bypass surgery.

Purpose: Coronary artery disease incidence under 40 years age is increasing parallel with atherosclerotic disease at the present day while it’s seen frequently over 40. We compared the preoperative risk factors and early postoperative results of patients under 40 years age with those over 80 years age executed coronary artery bypass surgery in our clinic in this retrospective study. Patients and method: 128 patients (106 patients under 40 years age (Group 1) and 22 patients aged over 80 (Group 2)) executed coronary artery bypass surgery between January 2004 and June 2012 in our clinic are included in this study. Result: Mean age was 45.2 ± 17.2. Smoking, diabetes mellitus and high low density lipoprotein levels were the predisposing risk factors in Group 1 while hypertension and chronic obstructive pulmonary disease are predominated in the other. All patients are taken to surgical procedure under elective conditions. Aortic cross clamp duration were 37.02 ± 16.2 and 38.9 ± 13.5 minutes respectively; total cardiopulmonary bypass interval was 67.1 ± 26.3 minutes. Utilization of left internal mammarian artery was significantly higher (p = 0.01) in group 1 when compared in terms of graft management. Necessity of positive inotropic support (p = 0.033) and intraaortic balloon pump demand (p = 0.315) are found higher in Group 2. Atrial fibrillation, neurologic complications, delirium, wound infection, and postoperative revision demand are found significantly low (p = 0.136) in Group 1. There was no mortality in both groups. Discussion: Postoperative complications are seen more often in the elder group, while there was no significant difference in terms of mortality in both groups. Coronary revascularisation is safely practical in both young and elder patients with well early postoperative results and acceptable hospital mortality.

Ozet Amac: Ileri yas hastalarda koroner arter bypass cerrahisi (CABG) giderek artmaktadir. Daha genc hasta grubu ile karsilastirildiginda bu grup hastalarda perioperatif ve postoperatif morbidite ve mortalite yuksek seyretmektedir. Bu yazimizda, klinigimizde kardiyopulmoner bypas (CPB) altinda izole CABG operasyonu yapilan 80 yas ve uzerindeki hastalarin demografik verileri ve operasyonun erken donem sonuclarini retrospektif olarak degerlendirmeyi amacladik. Hastalar ve Yontem: Ocak 2004 - Mayis 2012 yillari arasinda Adana Numune Egitim ve Arastirma Hastanesi Kalp ve Damar Cerrahi Kliniginde elektif sartlarda 80 yas ve uzerinde 22 hastaya CPB altinda izole CABG operasyonu uygulanmistir. Hastalarin demografik verileri ile perioperatif ve postoperatif parametreleri degerlendirildi. Bulgular: Hastalarin 17’si erkek, 5’i kadin, ortalama yas 82.3±3.9 (80-97) idi. Hastalarin %54.5’i sigara icmekte olup, %22.7’sinde diyabetes mellitus, %40.9’unda hipertansiyon, %13.6’sinda kronik obstruktif akciger hastaligi mevcuttu. Hastalarin %22.7'sinde tek damar, %18.2'sinde iki damar, %59.1'inde uc damar lezyonu mevcuttu. Ortalama aortik kross klemp 38.8±15.2 dakika, total CPB zamani 78.5±35 dakika, sol internal mamariyal arter kullanim orani %63.6 idi. CPB’dan ayrilma esnasinda olgularin %72.7’sinde inotropik destek gereksinimi oldu. Bir hastaya (%4.5) intraaortik balon pompasi (IABP) uygulandi. Postoperatif donemde olgularin %13.6’sinda (3 olgu) deliryum, %4.5’inde (1 olgu) stroke, %13.6’sinda (3 olgu) atriyal fibrilasyon, %4.5’inde (1 olgu) yara yeri enfeksiyonu gelismisti. Iki hasta postoperatif erken donemde kanama nedeniyle revizyona alinmis olup, mortalite gorulmemistir. Sonuc: Ileri yas grubundaki hastalarda postoperatif komplikasyon orani, hastane yatis suresi, morbiditenin artmasina karsin bu hastalarda da koroner bypass cerrahisi kabul edilebilir hastane mortalitesi ile basariyla uygulanabilmektedir. Anahtar kelimeler: Koroner Arter Bypass Cerrahisi; Ileri Yas; Risk Faktorleri.

In this article, we present our experiences on peripheral vascular surgery following pharmacomechanical thrombectomy in a case of thrombosis in his leg, which was performed aortobifemoral bypass graft. Forty-nine-year-old male patient had a necrotic wound at his left foot little (5th) finger. Angiography revealed a blockage in the left leg of aortobifemoral bypass graft. When conventional embolectomy procedure under the spinal anesthesia failed, thrombectomy was performed with a Cleaner thrombectomy catheter. Graft was anastomosed to arteria profunda femoris and the saphenous vein harvested from the ipsilateral lower extremity was interpositioned between the graft and infragenicular popliteal artery. We believe that the hybrid surgical interventions in combination with pharmacomechanical thrombectomy are useful treatment of choices to save the graft and extremity in cases in whom conventional thrombectomy is inadequate.

A 36-year-old male patient applied to our clinic with neurological complaints. As a result of analyses, the patient was diagnosed with concomitant cardiac and cerebral hydatid cyst. Two different subsequent surgical interventions were performed, and cardiac and brain cysts were extracted successfully. The patient was discharged without complications.