Cardiac and pericardial echinococcosis: report of 15 cases.
Between 1978 and 2002, 15 patients (mean age, 23.0 +/- 8.5 years) with cardiac and pericardial echinococcosis were treated surgically. The cysts were located in the right atrium in 3 patients, on the anterior myocardium in 7, and pericardially in 5. The 3 patients with right atrial cysts were operated on using cardiopulmonary bypass. There were 4 recurrences requiring re-operation after a mean of 12 months. All other patients received mebendazole treatment and exhibited no recurrence during follow-up. One late death due to chronic right heart failure occurred after 10 months of follow-up. The serologic test is an effective method of diagnosis in undeveloped and developing countries.
Murat
Vakeli
V
Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China. muratvakeli@hotmail.com
Qian
Zhongxi
Z
Guo
Shuiyuan
S
Qiao
Jun
J
D000293:Adolescent; D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use*; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004443:Echinococcosis / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008463:Mebendazole / Q000627:therapeutic use*; D010496:Pericardium / Q000469:parasitology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome
D000871:Anthelmintics; D008463:Mebendazole