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手术治疗浸润心肌并导致二尖瓣反流的包虫囊肿。

Surgical treatment of hydatid cyst infiltrating into myocardium and causing mitral valve regurgitation.

作者信息

Erdoğan Kemal Eşref, Uğuz Emrah, Hıdıroğlu Mete, Erkılıç Ezgi, Güney Murat Can, Şener Erol

机构信息

Department of Cardiovascular Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.

Department of Anesthesiology and Reanimation, Yıldırım Beyazıt University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Jun 14;27(3):395-397. doi: 10.5606/tgkdc.dergisi.2019.17526. eCollection 2019 Jul.

Abstract

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus. It is endemic in Asia, Africa, South America, and the Mediterranean region including Turkey. Cardiac involvement is rare. Surgery is the definitive treatment of cardiac hydatid cysts; however, to avoid recurrence after surgery, medical therapy should be also continued. Left ventricular free wall is the most common location, followed by the right ventricle and interventricular septum. Involvement of mitral valve is extremely rare. Herein, we present a case of hydatid cyst with myocardial involvement leading to severe mitral valve regurgitation which was successfully treated with surgery.

摘要

包虫囊肿是一种由细粒棘球绦虫引起的寄生虫病。该病在亚洲、非洲、南美洲以及包括土耳其在内的地中海地区呈地方性流行。心脏受累情况罕见。手术是心脏包虫囊肿的确定性治疗方法;然而,为避免术后复发,还应继续进行药物治疗。左心室游离壁是最常见的发病部位,其次是右心室和室间隔。二尖瓣受累极为罕见。在此,我们报告一例伴有心肌受累导致严重二尖瓣反流的包虫囊肿病例,该病例通过手术成功治愈。

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