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Since acute type A aortic dissection with coronary involvement is associated with high mortality rate, immediate coronary artery bypass grafting and aortic repair is a safe and reliable approach to these challenging group of patients.

We report a case of a 37-year-old sheep-raising man with a cardiac hydatid cyst involving the basal interventricular septum causing biventricular outflow obstruction. He suffered from multi-organ hydatidosis and underwent cerebral hydatid cyst extirpation and right nephrectomy for renal echinococcosis. The diagnosis of the cyst was obtained by echocardiography and magnetic resonance imaging. The diagnosis was confirmed by positive hemagglutination test. He was operated on for cardiac hydatid cyst using enucleation and capitonnage procedure under extracorporeal circulation. The morbidity was complete atrioventricular block, necessitating VDD pacemaker implantation. This was followed by medical treatment with albendazole (400 mg/day).

ail-gun injuries may occur accidentally or be selfinflicted. The most commonly affected area in the heart is the right ventricle because of its anterior location to the chest. Although these injuries are considered survivable in the modern era, expedient surgery and timing of intervention are critical for obtaining good results.

Lemierre's syndrome is an uncommon condition characterized by post-anginal septicemia due to anaerobes. Reported here is a case of Lemierre's syndrome presenting with thyroid and liver abscesses. At presentation, the 70-year-old female patient complained of fever, jaundice and neck pain. Computed tomography (CT) and ultrasound confirmed the presence of a left-sided internal jugular vein thrombosis as well as abscesses in the left thyroid lobe and the right lobe of the liver with pleural effusion. The thyroid abscess was treated with a left lobectomy.

Carotid body tumor resection has the potential hazards of hemorrhage, cranial nerve palsy, and cerebrovascular accident. The control of intraoperative bleeding during manipulation of the tumor is a critical issue for safe resection. In the presented case with a carotid body tumor, the Shamblin II, a carotid shunt with a dual balloon was used electively. The aim of shunt use was partial isolation of the tumor from carotid arterial circulation in a short time only. Shunt use may facilitate safe and easy resection.

Alt ekstremite kompleks vasküler yaralanması sonrası arteryel restorasyon yanında venöz tamir yapılması uzun yıllar tartışmalı bir konu olarak kalmıştır. Venöz dolaşımın sağlanmaması ekstremite ödemi ve kompartman sendromuna yol açarak arteriyel dolaşımı bozmakta ve ekstremite kaybı insidansını artırmaktadır. Biz bu olgu sunumunda ateşli silahla yaralanmaya sekonder meydana gelen alt ekstremite vasküler travmasında spiral safen ven grefti tekniği ile uygulanan venöz tamir olgusunu sunduk.