INTRACARDIAC ECHINOCOCCOSIS

M S Malikova,E A Mershina,V V Raskin,A V Dombrovskaya,S L Dzemeshkevich,V E Sinitsin,A S Dzemeshkevich,Yu V Frolova

doi:10.15829/1560-4071-2015-9-7-10

Abstract

Aim. To present the unique observations and success of the surgical treatment of intracardiac echinococcosis localization. Material and methods. During the 2011-2015 period, we successfully operated 3 patients with intracardiac echinococcosis localization. Before the operation, all patients underwent EchoCG, MRT/CT. Operations were performed under the artificial circulation conditions and pharmaco-cold cardioplegy. It was obligatory to use TEEchoCG during the operation. Results. In all patients the removal of echinococcosis cysts from the heart was successful. In one case, we also removed the cyst from the right lung. Conclusion. In echinococcosis of any localization, it is necessary to perform transthoracal EchoCG to rule out extracardiac cysts. In intracardiac echinococcosis it is recommended to operate off-pump with the aim of proper localization of the operation. We recommend to perform CT/MRI before the operation which make it possible to evaluate the anatomy of the heart and to explicate full and detailed operation plan, and during the operation to use transesophageal EchoCG with the same aim.

Highlights

In echinococcosis of any localization, it is necessary to perform transthoracal EchoCG to rule out extracardiac cysts
Магнитно-резонансная томограмма: многокамерная эхинококковая киста в полости расширенного ЛЖ заполняющая практически все основания передней папиллярной мышцы
При эхинококкозе любой локализации в обязательном порядке выполнять трансторакальное ЭхоКГ для исключения внутрисердечных кист;

Summary

Introduction

Отделения хирургического лечения дисфункции миокарда, Фролова Ю.В. Отделения хирургического лечения дисфункции миокарда, Раскин В.В. Отделения хирургического лечения дисфункции миокарда, Дземешкевич А.С. Отделения хирургического лечения дисфункции миокарда, Домбровская А. В. — врач, сердечнососудистый хирург отделения хирургического лечения дисфункции миокарда, Мершина Е.А.

Results

Conclusion