Mahdhaoui Abdallah, Bouraoui Hatem, Majdoub Mohamed Amine, Jeridi Gouider, Hajri Samia Ernez, Trimeche Besma, Zaaraoui Jilani, Ammar Habib
Service de cardiologie Hôpital Farhat Hached 4000 Sousse, Tunisie.
Rev Med Suisse Romande. 2003 Mar;123(3):169-73.
Cardiac hydatid cysts are rare and represent 0.5 to 2% off all hydatid cyst in human. We describe clinical and echographic features in 12 patients with cardiac echinococcosis, admitted between 1992 and 2001. Average age was 40 years (16-60 years). The cysts were located in the left ventricle wall (3 patients), right ventricle wall (3 patients) right atrium (3 patients) and pericardial cavity (3 patients). Cardiac Hydatid cyst diagnosis was established by transthoracic echocardiography (TTE) and transoesophageal echocardiography (TEE) in all cases. Computed tomography and magnetic resonance imaging confirmed echographic finding. All patients were operated. The operation finding confirmed the imaging data. Only one patient died in the post operative period. No recurrence or associated complication were reported in the late follow up.
In presence of atypical symptomatology in a patient coming from an endemic area of hydatid cyst the diagnosis of cardiac echinococcosis is possible. TTE and TEE are the imaging procedure of choice and sufficient for the diagnosis of cardiac hydatid cyst. CT and/or MRI provide more information about the extension of echinococcosis diseases in other intra or extrathoracic location.
心脏包虫囊肿较为罕见，占人类所有包虫囊肿的0.5%至2%。我们描述了1992年至2001年间收治的12例心脏棘球蚴病患者的临床和超声心动图特征。平均年龄为40岁（16至60岁）。囊肿位于左心室壁（3例）、右心室壁（3例）、右心房（3例）和心包腔（3例）。所有病例均通过经胸超声心动图（TTE）和经食管超声心动图（TEE）确诊为心脏包虫囊肿。计算机断层扫描和磁共振成像证实了超声心动图检查结果。所有患者均接受了手术。手术所见证实了影像学数据。术后仅1例患者死亡。随访后期未报告复发或相关并发症。
来自包虫囊肿流行地区的患者出现非典型症状时，有可能诊断为心脏棘球蚴病。TTE和TEE是诊断心脏包虫囊肿的首选影像学检查方法且足够。CT和/或MRI可提供有关棘球蚴病在其他胸内或胸外部位扩展的更多信息。
