Is surgical therapy the only treatment of choice for cardiac echinococcosis with multiple organ involvement?
A 25-year-old male patient suffered from multi-organ hydatidosis including cardiac and bilateral pulmonary echinococcosis. Echocardiography revealed the hydatid cyst 20x35 mm in dimension located in the interventricular septum. The patient refused surgery; albendazole 400 mg/day was given orally and was continued for 24 months. The follow-up echocardiography 24 months later showed that the cyst showed regression 15x25 mm in dimension and demonstrated albendazole-induced echocardiographic changes. Medical treatment in hydatid disease might be recommended when the disease is extensive, the surgery is contraindicated or refused by the patient.
Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, 81020 Istanbul, Turkey. nbozbuga@kosuyolu.gov.tr
Nilgün
N
Bozbuga
Vedat
V
Erentug
Esat
E
Akinci
Cevat
C
Yakut