المعالجة الجراحية للكيسات المائية القلبية

الملخص EN

Background & Objective: Isolated cardiac disease is rare.

It occurs in less than 2% of cases.

Echinococcus granulosis is am endemic parasite in many countries, including Syria.

The presenting symptoms are related to the position, size, and number of the Cysts.

Methods & Materials: The study included 12 patients with cardiac hydatid disease treated surgically within our cardiac surgery department at Damascus university.

The study was conducted between October 2001 and November 2011.

The study included 12 patients.

7 females and 5 males aged between 15 and 62 years (mean age 30.8 ± 13.6).

Diagnosis depends basically on transthoracic 2D echocardiography, computed tomography (CT) and magnetic resonance imaging (MRI).

Results: The treatment of choice, even for asymptomatic cardiac hydatid cycts is surgical excision which yields complete recovery and excellent prognosis with less complications.

Surgical treatment was performed as follows: surgical excision (2 patients), enucleations (5 patients).

Aspiration and injection of concentrated saline 9% (4 patients) 10 patients required cardiopulmonary bypass for excision of the hydatid disease.

Two patients did not require cardiopulmonary bypass because the cysts were in the pericardium and on the heart surface.

Supplemental oral mebensazole was used to reduce the risk of recurrence.

Conclusion: Routine screening of hepatic and lung hydatid cysts with transthoracic echocardiography is recommended.

Computed tomography and magnetic resonance imaging Fumction as investigations for localizing of cysts and planning the surgery.