房间隔内包虫病的病例分析。

Ozalp Karabay, Ahmet Onen, Fidan Yildiz, Erkan Yilmaz, Cenk A Erdal, Aydin Sanli, Göksel Kilci, Ibrahim Algin, Oya Itil, Unal Açikel
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引用次数: 10

摘要

细粒棘球蚴累及心脏的比例为0.02-2%,虽然少见,但在已发表的文献中也有累及房间隔的报道。该宗个案为一名19岁男大学生,因头痛及头晕而入院。颅脑电脑断层显示位于额部的囊性肿块,手术中进行了囊肿去核。术后经胸二维超声心动图在房间隔内发现一个5 × 4 cm大小的囊性病变,患者被转介到我们的诊所。我们进行了心内直视手术,并切除了累及房间隔的包虫囊肿。将囊肿壁与房间隔缝合。术后无并发症发生。患者住院第5天出院,开始阿苯达唑药物治疗。
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The case of a cyst hydatid localized within the interatrial septum.

The ratio of cardiac involvement of Echinoccocus granulosus is 0.02-2% and although seen rarely, involvement of the interatrial septum has also been reported in the published literature. The present case was a 19-year-old male university student admitted to hospital with complaints of headache and dizziness. Computerized tomography of the cranium revealed a cystic mass located at the frontal region and enucleation of the cyst was performed during surgery. A cystic lesion 5 x 4 cm in size was detected within the interatrial septum on two-dimensional transthoracic echocardiography during the postoperative period and the patient was referred to our clinic. Open heart surgery was performed and a hydatid cyst that involved the interatrial septum was enucleated. The cyst wall was sutured to the interatrial septum. No complications developed during the postoperative period. The patient was discharged on the fifth day of hospitalization and medical therapy was started with albendazole.

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