Verma Rakesh Kumar, Krishna Vinay, Kumar Neeraj, Prakash Neeraj, Singh Saurabh, Tripathi Neeraj
Department of cardiovascular and thoracic surgery, LPS Institute of Cardiology GSVM Medical Collage, Rawatpur, Kanpur, Uttar Pradesh India.
Indian J Thorac Cardiovasc Surg. 2018 Oct;34(4):496-499. doi: 10.1007/s12055-018-0657-8. Epub 2018 Mar 7.
Cardiac hydatid cyst is a rare disease with frequency of less than 2%. The left ventricle is the most common site. Symptoms depend upon site of involvement ranging from asymptomatic to acute coronary syndrome, arrhythmias, valvular lesions, etc. It is a surgical emergency, therefore early diagnosis and surgical treatment is required even in asymptomatic patients. Surgical excision on beating heart along with preparedness with cardiopulmonary bypass and fibrillator via left anterolateral thoracotomy can be done successfully, followed by medical treatment with albendazole. Increased awareness and high degree of suspicion among cardiac physicians in the endemic area is essential for early diagnosis. Echocardiography remains the gold standard for diagnosis and follow-up of patient.
心脏包虫囊肿是一种罕见疾病，发病率低于2%。左心室是最常见的发病部位。症状取决于受累部位，范围从无症状到急性冠状动脉综合征、心律失常、瓣膜病变等。这是一种外科急症，因此即使是无症状患者也需要早期诊断和手术治疗。通过左前外侧开胸术在心脏跳动时进行手术切除，并准备好体外循环和除颤器，手术可成功完成，随后用阿苯达唑进行药物治疗。流行地区的心脏科医生提高认识和高度怀疑对于早期诊断至关重要。超声心动图仍然是诊断和随访患者的金标准。
