Yilmaz Mert, Senkaya Isik, Kaderli Aysel, Ener Serdar
Department of Cardiovascular Surgery, Faculty of Medicine, Uludag University, Bursa, Turkey.
Heart Surg Forum. 2007;10(1):E9-E11. doi: 10.1532/HSF98.20061126.
We report a case of complete atrioventricular block and tricuspid valve insufficiency due to a cardiac hydatid cyst located in the interventricular septum that occurred in a 19-year-old male patient. Surgery was carried out with the help of cardiopulmonary bypass. The cyst was excised, and the interventricular septum was closed with an autologous pericardial patch treated with glutaraldehyde. The tricuspid valve insufficiency was repaired with annuloplasty. A dual-chamber epicardial pacemaker was implanted. The postoperative course was uneventful, and the patient was doing well 6 months after discharge. This is the first report of a cardiac hydatidosis case for which the repair of the interventicular septum, tricuspid annulopasty, and permanent pacemaker implantation were performed during the same operation.
我们报告了一例19岁男性患者,因位于室间隔的心脏包虫囊肿导致完全性房室传导阻滞和三尖瓣关闭不全。在体外循环的帮助下进行了手术。切除囊肿,并用经戊二醛处理的自体心包补片封闭室间隔。通过瓣环成形术修复三尖瓣关闭不全。植入了双腔心外膜起搏器。术后过程顺利,患者出院6个月后情况良好。这是首例在同一手术中进行室间隔修复、三尖瓣瓣环成形术和永久性起搏器植入的心脏包虫病病例报告。