Busacca G, Puzzo A, Fiamma G
Servizio di Cardiologia, IRCCS Oasi Maria SS Troina, Enna.
Minerva Cardioangiol. 1998 Jan-Feb;46(1-2):35-8.
Cardiac hydatid disease represents 0.02-2% of the possible locations of the parasite. The case of an asymptomatic 60-year-old male patient, hospitalised for mnesic and cognitive disease, and with history of hepatic and pulmonary echinococcosis is reported. The patient showed a cardiac cyst localised in the mediobasal portion of the ventricular septum, with partial obstruction of the left ventricular outflow tract and with alteration of the left ventricular compliance. This case is of particular interest either for the rarity of cardiac localization or disagreement between the severity of anatomic involvement and absence of correlated symptoms. Therefore all patients affected by hydatid disease could be routinely investigated by 2D echo because this imaging technique is non invasive, feasible and has a high sensitivity for detecting intracardiac echinococcal cysts.
心脏包虫病占寄生虫可能寄生部位的0.02% - 2%。本文报告了一例60岁无症状男性患者,因记忆和认知障碍入院,有肝和肺包虫病病史。患者心脏囊肿位于室间隔中底部,导致左心室流出道部分梗阻,左心室顺应性改变。该病例因其心脏定位罕见,以及解剖学受累程度与相关症状缺失之间的不一致而尤为引人关注。因此,所有包虫病患者都应常规接受二维超声心动图检查,因为这种成像技术是非侵入性的,可行的,并且对检测心脏内包虫囊肿具有高灵敏度。