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Vascular echinococcosis
Kamil Kaynak1, Cengiz Köksal, Kamuran Kazimoğlu
1Department of Thoracic and Cardiovascular Surgery Cerrahpasa Medical Faculty Istanbul University Istanbul, Turkey. kamil@istanbul.edu.tr
Insights
Arterial echinococcosis can cause chronic or acute arterial occlusion. Hydatid cysts were identified as the cause of Leriche
Area of Science:
- Vascular Surgery
- Parasitology
- Infectious Diseases
Background:
- Arterial echinococcosis is a rare condition.
- Echinococcosis typically affects organs like the liver and lungs.
- Vascular involvement is uncommon but can lead to severe complications.
Observation:
- Three patients presented with arterial occlusion.
- One patient had Leriche's syndrome due to aortic hydatid cysts.
- Two patients experienced acute femoral or brachial artery occlusion.
Findings:
- Hydatid cysts were the cause of arterial occlusion in all three cases.
- Surgical intervention included aortoiliac interposition graft for aortic occlusion.
- Embolectomy was performed for peripheral artery occlusions.
Implications:
- Highlights the importance of considering echinococcosis in arterial occlusion, especially in endemic areas.
- Demonstrates successful surgical management of arterial obstruction caused by hydatid disease.
- Underscores the need for awareness among vascular surgeons regarding this rare parasitic infestation.
Abstract:
Three patients with arterial echinococcosis presented with chronic or acute arterial occlusion. One case diagnosed as Leriche's syndrome was found at surgery to have aortic occlusion caused by hydatid cysts; arterial reconstruction was performed by aortoiliac interposition of a woven Dacron vascular graft. In the other 2 cases presenting with acute femoral or brachial artery occlusion, embolectomy revealed hydatid cysts as the cause of occlusion.