Macedo A J, Magalhães M P, Tavares N J, Bento L, Sampayo F, Lima M
Department of Pediatric Cardiology, Hospital de Santa Marta, Santa Marta Street, 1150 Lisbon, Portugal.
Pediatr Cardiol. 1997 May-Jun;18(3):226-8. doi: 10.1007/s002469900158.
Cardiac hydatid cyst is a rare disease, especially in children. An 11-year-old boy with a previous anaphylactic reaction and episodes of abdominal pain was admitted for workup of an acquired long systolic murmur. Echocardiographic investigation disclosed a tumor of the right ventricular anterior wall, with multiple loculations. Magnetic resonance imaging characterized it as a multilobular tumor with cyst formation and disclosed another cyst in the right pulmonary artery. With a positive ELISA reaction the child was admitted for surgery with the diagnosis of cardiac and pulmonary hydatid cysts. Cardiac surgery was performed with good results, followed by medical treatment with albendazole.
心脏包虫囊肿是一种罕见疾病,尤其在儿童中更为少见。一名11岁男孩,既往有过敏反应及腹痛发作史,因后天性收缩期长期杂音前来检查。超声心动图检查发现右心室前壁有一个肿瘤,有多个分隔。磁共振成像显示为一个有囊肿形成的多叶肿瘤,并在右肺动脉发现另一个囊肿。由于酶联免疫吸附测定(ELISA)反应呈阳性,该患儿因心脏和肺部包虫囊肿的诊断入院接受手术。心脏手术效果良好,术后给予阿苯达唑药物治疗。