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Thoracic aortic involvement in cystic echinococcosis: A case report
Mohammad Mahdi Kamyar1, Hassan Ravari2
1M.D., General Surgeon, Fellow, Vascular and Endovascular Surgery Research Center, Alavi Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Electronic Physician
|October 18, 2017
Summary
Cystic echinococcosis can affect the aorta, presenting as a mediastinal mass. Surgical repair led to a successful two-year recovery, highlighting the need for physician awareness in endemic regions.
Area of Science:
- Parasitology
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Cystic echinococcosis is an endemic parasitic disease in rural areas, often presenting with diverse clinical manifestations.
- Echinococcal cysts can involve various organs, necessitating broad diagnostic considerations.
Observation:
- A case of echinococcal aortic involvement was incidentally discovered via chest radiography, initially appearing as a mediastinal mass.
- Further diagnostic workup included magnetic resonance imaging (MRI) and enzyme-linked immunosorbent assay (ELISA) to confirm the diagnosis.
Findings:
- The patient underwent successful surgical treatment via thoracotomy, including repair of the aortic defect.
- Post-operative follow-up for two years showed the patient remained asymptomatic with no complications.
Implications:
- Physicians in endemic areas must be aware of the varied presentations of cystic echinococcosis.
- Management of echinococcal cysts near great vessels requires collaborative efforts with vascular surgeons for optimal patient outcomes.
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