Intracavitary cardiac hydatid cyst

Cardiovascular surgery (London, England) Pub Date : 2003-12-01 DOI:10.1016/S0967-2109(03)00116-9

A Abid, S Ben Omrane, K Kaouel, A Marghli, M Dhiab, N Abid, S Ben Zarkouna, A Khayati

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Abstract

The purpose of this study is to determine the diagnosis means, the surgical management and the prognosis of patients with intracavitary cardiac hydatid cyst.

We report a series of seven patients. The diagnosis was orientated by coexisting pulmonary locations in all patients. The cyst was located in the right cardiac chambers. Cardiopulmonary bypass with aortic cross clamping and cardioplegia was necessary in all cases.

The postoperative course was satisfactory for all patients. There was a recurrence of pulmonary cysts in all patients after a mean duration of 42 months. Medical treatment (Albendazole) was instituted. One late death occurred at 3 years of follow-up due to chronic right heart failure.

In conclusion, cardiac hydatid cysts with intracavitary location must be suspected in patients with pulmonary or systemic embolization. Early surgical treatment is necessary and medical treatment must be instituted after surgery.

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腔内心脏包虫病

本研究旨在探讨腔内心脏包虫囊肿的诊断方法、手术处理及预后。我们报告了一系列的七个病人。诊断以所有患者的共存肺位置为导向。囊肿位于右心室。所有病例均需行主动脉交叉夹紧和心脏截瘫的体外循环。所有患者的术后过程均令人满意。所有患者在平均42个月后均出现肺囊肿复发。开始进行药物治疗(阿苯达唑)。1例晚期死亡发生在3年随访期间，原因是慢性右心衰。总之，在肺部或全身栓塞的患者中，必须怀疑有腔内位置的心脏包虫囊肿。早期手术治疗是必要的，术后必须进行药物治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cardiovascular surgery (London, England)

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