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.
Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830054, China. muratvakeli@hotmail.com
Vakeli
V
Murat
Zhongxi
Z
Qian
Shuiyuan
S
Guo
Jun
J
Qiao
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