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右心室包虫囊肿的外科治疗

Surgical treatment of right ventricular hydatid cyst.

作者信息

Oc Mehmet, Ulular Omer, Oc Bahar

机构信息

Department of Cardiovascular Surgery, Selcuk University, Konya, Turkey.

出版信息

Heart Surg Forum. 2012 Jun;15(3):E167-9. doi: 10.1532/HSF98.20111160.

Abstract

Hydatid cyst is a serious endemic parasitic disease found in cattle-raising areas of the world. Cardiac hydatid cysts are rare and appear in 0.5% to 2% of hydatid cyst cases. A 24-year-old male patient was admitted to the hospital because of chest pain. A cystic mass (4 4 3 cm) was demonstrated with transthoracic echocardiography, computed tomography, and magnetic resonance imaging. A hydatid cyst was located in the right ventricular wall near the inferior branch of the acute marginal branch of the right coronary artery and was located such that it pushed the tricuspid valve inward. The cystic materials were removed with the patient on cardiopulmonary bypass. The surgery for cardiac hydatid disease is safe, and the results are satisfactory.

摘要

包虫囊肿是一种严重的地方性寄生虫病,见于世界上的养牛地区。心脏包虫囊肿较为罕见,在包虫囊肿病例中占0.5%至2%。一名24岁男性患者因胸痛入院。经胸超声心动图、计算机断层扫描和磁共振成像显示有一个囊性肿块(4×4×3厘米)。一个包虫囊肿位于右心室壁,靠近右冠状动脉急性边缘支的下分支,其位置使三尖瓣向内推移。在体外循环下为患者清除了囊内容物。心脏包虫病手术是安全的,结果令人满意。

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