Birincioglu Cemal Levent, Kervan Umit, Tufekcioglu Omac, Ozen Anil, Bardakci Hasmet, Kucuker Seref Alp, Saritas Ahmet
Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey.
Asian Cardiovasc Thorac Ann. 2013 Oct;21(5):558-65. doi: 10.1177/0218492312463210. Epub 2013 Jul 9.
Cardiac echinococcosis is an extremely rare disease, seen worldwide. Some clinical characteristics are unknown, and treatment modalities are unclear.
41 patients diagnosed with cardiac or pericardial echinococcosis underwent surgery. We evaluated the patients echocardiographically in 8 different categories: cardiac echinococcosis lesions located within the heart, imaging appearance of each lesion, activity of the cysts, mode of cardiac echinococcosis, and number of cardiac lesions per patient. The surgical technique was reevaluated according to the intraoperative echocardiographic findings, especially according to the mode of the lesion.
The hydatid cysts were located in the ventricular wall in 34 cases, the right atrium in 2, the noncoronary sinus Valsalva of the aorta in 1, between the aorta and the pulmonary bifurcation in 1, and in the pericardium alone in 4 cases. In 1 case, septal rupture occurred and the patient died. Relapse was seen in 1 patient who was operated on due to multiple ventricular and pericardial cysts; this patient underwent a second operation 6 years and 8 months after the initial surgery.
Recent echocardiographic developments and application of intraoperative echocardiography enables a detailed classification for extirpation, and allows successful treatment.
心脏包虫病是一种极为罕见的疾病，在全球范围内均有发现。其一些临床特征尚不明确，治疗方式也不清楚。
41例被诊断为心脏或心包包虫病的患者接受了手术。我们通过超声心动图对患者进行了8种不同类别的评估：心脏包虫病病变在心脏内的位置、每个病变的影像学表现、囊肿的活性、心脏包虫病的类型以及每位患者心脏病变的数量。根据术中超声心动图检查结果，特别是根据病变类型，重新评估了手术技术。
包虫囊肿位于心室壁34例，右心房2例，主动脉无冠状窦1例，主动脉与肺动脉分叉之间1例，仅位于心包4例。1例发生间隔破裂，患者死亡。1例因多发心室和心包囊肿接受手术的患者出现复发；该患者在初次手术后6年8个月接受了第二次手术。
近期超声心动图的发展及术中超声心动图的应用能够实现详细的切除分类，并实现成功治疗。
