Surgical Treatment and Outcomes of 10 Cases with Cardiac Echinococcosis

Document Type : Research Paper

Authors

1 Assistant professor of Cardiac Surgery, MashhadUniversity of Medical Sciences, Mashhad, Iran Mashhad, Iran

2 Assistant professor of Cardiovascular Disease, MashhadUniversity of Medical Sciences, Mashhad, Iran Mashhad, Iran

3 Resident in Infectious Diseases,Mashhad University of Medical Sciences, Mashhad, Iran Mashhad, Iran

Abstract

Introduction
Cardiac echinococcosis is an uncommon and potentially fatal complication of hydatid cyst disease, which has an intricate diagnosis and treatment because of various presentation, diverse signs and symptoms, and abundant and sometimes unpredictable complications. This study reviewed the results of surgical treatment of 10 cases of cardiac echinococcosis.
Materials and Methods
This case of series was done in ten cases of cardiac echinococcosis underwent surgical treatment at Shahid Madani Heart Hospital, Tabriz, in a 12 years period (1992-2004). For collecting data a questionnaire was used and statistical analysis was performed with SPSS software and descriptive statistical methods.
Results
There were 7 female and 3 male patients (F/M Ratio=1.75/1). The mean age of patients was 24.6 years old. All patients operated through median sternotomy with cardiopulmonary bypass. Surgical treatment included puncture of cyst and sterilization with hypertonic saline solution and total cyst extirpation. There was preoperative mortality and cerebral hydatid cyst occurred in another patient one year later. All patients received albendazol pre- and post-operation.
Conclusion
According to the results of this study, surgical treatment of cardiac hydatid cyst seems to be a safe approach. It is recommended that patients should receive mebedazole or albendazole for 6 to 24 months after surgery. Reduction of serum levels of antibodies against echinococcus or a negative result signifies a successful treatment.

Keywords

References

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medical journal of mashhad university of medical sciences
Volume 52, Issue 4 - Serial Number 4
November and December 2009
Pages 244-248

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