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Cardiac Echinococcosis: A Single-Centre Study with 25 Patients
Alptekin Yasim1, Hasim Ustunsoy1, Gokhan Gokaslan1
1Gaziantep University, Faculty of Medicine, Department of Cardiovascular Surgery, Gaziantep, Turkey.
Heart, Lung & Circulation
|August 17, 2016
Summary
Surgery for cardiac echinococcosis is crucial for this rare, fatal disease. Our study suggests haematogenous spread is the primary cause, challenging direct extension theories.
Area of Science:
- Cardiology
- Parasitology
- Surgical Oncology
Background:
- Cardiac echinococcosis is a rare parasitic infection affecting the heart.
- Surgical intervention is essential for managing this potentially fatal condition.
Purpose of the Study:
- To analyze surgical outcomes for patients with cardiac echinococcosis.
- To investigate the primary route of cardiac echinococcosis transmission.
Main Methods:
- Retrospective analysis of 25 patients undergoing cardiac hydatid cyst surgery (June 2005-June 2013).
- Evaluation of cyst location, surgical techniques (including cardiopulmonary bypass), and patient demographics.
- Assessment of presenting symptoms and early follow-up outcomes.
Main Results:
- Dyspnea was the most common symptom; cysts were primarily cardiac (16/25).
- Intracavitary (11/25) and extracavitary (14/25) cysts were observed.
- No early mortalities were recorded; cardiopulmonary bypass was widely used.
Conclusions:
- Cardiac echinococcosis necessitates surgical treatment upon diagnosis.
- Haematogenous spread is proposed as the predominant transmission route, questioning direct extension from adjacent organs.
