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Journals / Anadolu Kardiyoloji Dergisi / 2003 / Cilt: 3 - Sayı: 2

İzole kardiyak ekinokokkozis'in cerrahi tedavisi: Beş olgunun sunumu

Surgical treatment of isolated cardiac echinococciasis: Report of five cases

S. DJOSHIBAEV
A. MARALOV
S. SHABRALIEV
K. DJOOSHEV
U. M. HALIKOV
L. YANKOVSKAYA
T. KUDAIBERDIEV
Pages
137–143
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ideal echinococcectomy is an effective surgical treatment of isolated cardiac echinococciasis.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Cardiac echinococcosis is a rare pathology and in about half of cases it is not accompanied by other organs involvement.
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Key Findings & Data:Methods: Among 5 patients with ICE operated in our clinic 1 had pericardial and epicardial involvement, 1 patient had the single cyst in the apicolateral wall of the left ventricle and 3 patients had singular cysts of the interventricular septum.
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Conclusion & Impact:Ideal echinococcectomy is an effective surgical treatment of isolated cardiac echinococciasis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Cardiac echinococcosis is a rare pathology and in about half of cases it is not accompanied by other organs involvement. We report on our experience of surgical treatment of isolated cardiac echinococcosis (ICE). Methods: Among 5 patients with ICE operated in our clinic 1 had pericardial and epicardial involvement, 1 patient had the single cyst in the apicolateral wall of the left ventricle and 3 patients had singular cysts of the interventricular septum. All patients underwent chest X-Ray, transthoracic echocardiography, ultrasound examinations of the internal organs, hemagglutination tests and microbiologic evaluation of operative specimens. Results: Two operations were performed on a beating heart and three - using cardiopulmonary bypass. In cases of intramyocardial localizations the cyst enucleation and closure of residual cavities by plication were performed and in a case of peri- and epicardial involvement the extirpation of cysts and partial pericardiectomy were carried out. All patients postoperatively received therapy with albendazole. No intra- and postoperative complications were observed. Control echocardiography did not reveal any disturbances of myocardial performance. Two years follow-up showed absence of cyst recurrence.Conclusion: The prevailed localization of echinococci cysts in ICE is the myocardium of the LV and IVST, places with the highest myocardial mass and good perfusion. Ideal echinococcectomy is an effective surgical treatment of isolated cardiac echinococciasis.

Özet

Amaç: Kardiyak ekinokokkozis çok nadir bir patolojidir ve vakaların yarısında başka organların tutulumu görülmemektedir. İzole kardiyak ekinokokkozis'in (İKE) cerrahi tedavisinde deneyimlerimizi bu çalışmada bildirdik.Yöntemler: Kliniğimizde İKE nedeni ile ameliyat edilen 5 hastadan 1 hastada hem perikardiyal hem epikardiyal tutulum vardı, 1 hastada sol ventrikülün apiko-lateral duvarında tek kist ve 3 hastada interventriküler septumda tek kist saptandı. Tüm hastalara göğüs radyografisi, transtorasik ekokardiyografi, iç organların ultrason görüntülemesi, hemaglütinasyon testi ve operatif parçaların mikrobiyolojik değerlendirmesi yapıldı. Bulgular: Ameliyatlardan ikisi çalışan kalpte ve üçü kardiyopulmoner baypas ile yapıldı, intramiyokardiyal lokalizasyonlu kistler enükleasyon ile çıkarıldı ve kalan boşluk plikasyon ile kapatıldı; perikard ve epikard tutulumu olan olguda kistlerin ekstirpasyonu ve parsiyel perikardiektomi uygulandı. Tüm hastalarda ameliyattan sonra oral albendazole tedavisine başlandı. Hiçbir hastada intraoperatif ve postoperatif komplikasyonlar görülmedi. Kontrol ekokardiyografisinde miyokard performansında hiçbir bozukluk kaydedilmedi. İki yıllık gözlem periyodunda kistlerde tekrarlanma veya yenilenme saptanmadı. Sonuç: izole kardiyak ekinokokkoziste kistler en sık en iyi perfüze edilen sol ventrikül ve interventriküler septumun miyokardında görülür. İdeal ekinokokkektomi, İKE'nin etkin cerrahi tedavisidir.

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Cite This Article

DJOSHIBAEV, S., MARALOV, A., SHABRALIEV, S., DJOOSHEV, K., HALIKOV, U. M., YANKOVSKAYA, L., KUDAIBERDIEV, T. (2022). İzole kardiyak ekinokokkozis'in cerrahi tedavisi: Beş olgunun sunumu. Anadolu Kardiyoloji Dergisi, Cilt: 3 - Sayı: 2, 137–143. https://ajindex.com/articles/437514

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