Surgical Treatment of Cardiac Cystic Echinococcosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YANFei , HUOQiang ,  MURATAbudureheman , ASKAERShabit , MASong-feng , ZHUTao , LIUZheng

Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, P.R.China;

Corresponding author：

MURATAbudureheman, Email: yfheart@outlook.com

Keywords：

Cardiac; Echinococcosis; Hydatid disease; Cardiac surgical procedures

DOI：

10.7507/1007-4848.20160134

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Objective To discuss the strategy of surgical treatment for cardiac cystic echinococcosis. Methods We retrospectively analyzed the clinical data of 26 patients diagnosed with cardiac cystic echinococcosis between February 1978 and April 2013 in our hospital. There were 11 females and 15 females at a mean age of 28.9±7.6 years ranging 8-60 years. All patients underwent endocyst-punctured cystectomy, enucleation of intact endocyst and total cyst resection. Results All 26 surgeries were successful and there was no perioperative mortality. The mean time of operation was 110±32 minutes, and the mean time of hospital stay was 8.1±2.3 days. The mean follow-up time of 22 patients was 75±11 months ranging 15-190 months. There were 4 patients who were lost to follow-up. There were three recurrences and one late death. Conclusions We should choose the proper surgical method based on the patients’ condition.There is a certain effect and a low recurrance for surgical treatment of cardiac cystic echinococcosis.

Citation： YANFei, HUOQiang, MURATAbudureheman, ASKAERShabit, MASong-feng, ZHUTao, LIUZheng. Surgical Treatment of Cardiac Cystic Echinococcosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(6): 558-562. doi: 10.7507/1007-4848.20160134 Copy

1.	Da SA. Hydatid cyst/cystic echinococcosis: anatomical and surgical nomenclature and method to quantify the cyst content solidification.Chin Med J (Engl), 2011, 124(18): 2806-2812.
2.	Abhishek V, Avinash V. Cardiac hydatid disease: literature review. Asian Cardiovasc Thorac Ann, 2012, 20(6): 747-750.
3.	Diaz-Menendez M, Perez-Molina JA, Norman FF, et al. Management and outcome of cardiac and endovascular cystic echinococcosis. PLoS Negl Trop Dis, 2012, 6(1): e1437.
4.	杨超, 翁渝国, 梁红, 等. 心脏包虫病手术治疗二例. 中国胸心血管外科临床杂志, 2006, 13(1): 58.
5.	Murat V, Qian Z, Guo S, et al. Cardiac and pericardial echinococ-cosis: report of 15 cases. Asian Cardiovasc Thorac Ann, 2007, 15(4): 278-279.
6.	马松峰, 乔峻, 霍强. 心脏及心包包虫病的临床表现和外科治疗. 中华胸心血管外科杂志, 2001, 17(3): 20-21.
7.	Wen H, Zou PF, Yang WG, et al. Albendazole chemotherapy for human cystic and alveolar echinococcosis in north-western China. Trans R Soc Trop Med Hyg, 1994, 88(3): 340-343.
8.	Kaplan M, Demirtas M, Cimen S, et al. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg, 2001, 71(5): 1587-1590.
9.	Kurugoglu S, Kizilkilic O, Ogut G, et al. Primary cardiac hydatid disease: cross-sectional imaging features. South Med J, 2002, 95(10): 1140-1144.
10.	Shevchenko YL, Travin NO, Musaev GH, et al. Heart echinococcosis:current problems and surgical treatment. Multimed Man Cardio-thorac Surg, 2006, 8(10): 1115-2005.
11.	Agarwal R, Kumar N, Dixit S, et al. Hydatid cyst in the right ventricular outflow tract: Successful surgical outcome of a rare entity. Indian J Thorac Cardiovasc Surg, 2009, 25(1): 40-42.
12.	Fazlinezhad A, Moohebati M, Azari A, et al. Acute pericardial tamponade due to ruptured multiloculated myocardial hydatid cyst. Eur J Echocardiogr, 2009, 10(3): 459-461.
13.	Yilmazkaya B, Yondem OZ, Gurkahraman S, et al. Direct approach to hydatid cyst of the interventricular septum. Tex Heart Inst J, 2009, 36(2): 174-176.
14.	De Paulis R, Seddio F, Colagrande L, et al. Cardiac echinococcosis causing coronary artery disease. Ann Thorac Surg, 1999, 67(6): 1791-1793.
15.	Makaryus AN, Hametz C, Mieres J, et al. Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic,transesophageal, and contrast echocardiography. Eur J Echocar-diogr, 2004, 5(3): 223-227.
16.	Tufekcioglu O, Birincioglu CL, Arda K, et al. Echocardiography findings in 16 cases of cardiac echinococcosis: proposal for a new classification system. J Am Soc Echocardiogr, 2007, 20(7): 895-904.
17.	Xing Y, Bawudong D, Zhang W, et al. Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature. Int J Cardiovasc Imaging, 2011, 27(S1): 97-102.
18.	Erentug V, Bozbuga N, Kirali K, et al. Cardiac hydatid cysts: surgical treatment and results. J Card Surg, 2004, 19(4): 358-360.

1. Da SA. Hydatid cyst/cystic echinococcosis: anatomical and surgical nomenclature and method to quantify the cyst content solidification.Chin Med J (Engl), 2011, 124(18): 2806-2812.
2. Abhishek V, Avinash V. Cardiac hydatid disease: literature review. Asian Cardiovasc Thorac Ann, 2012, 20(6): 747-750.
3. Diaz-Menendez M, Perez-Molina JA, Norman FF, et al. Management and outcome of cardiac and endovascular cystic echinococcosis. PLoS Negl Trop Dis, 2012, 6(1): e1437.
4. 杨超, 翁渝国, 梁红, 等. 心脏包虫病手术治疗二例. 中国胸心血管外科临床杂志, 2006, 13(1): 58.
5. Murat V, Qian Z, Guo S, et al. Cardiac and pericardial echinococ-cosis: report of 15 cases. Asian Cardiovasc Thorac Ann, 2007, 15(4): 278-279.
6. 马松峰, 乔峻, 霍强. 心脏及心包包虫病的临床表现和外科治疗. 中华胸心血管外科杂志, 2001, 17(3): 20-21.
7. Wen H, Zou PF, Yang WG, et al. Albendazole chemotherapy for human cystic and alveolar echinococcosis in north-western China. Trans R Soc Trop Med Hyg, 1994, 88(3): 340-343.
8. Kaplan M, Demirtas M, Cimen S, et al. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg, 2001, 71(5): 1587-1590.
9. Kurugoglu S, Kizilkilic O, Ogut G, et al. Primary cardiac hydatid disease: cross-sectional imaging features. South Med J, 2002, 95(10): 1140-1144.
10. Shevchenko YL, Travin NO, Musaev GH, et al. Heart echinococcosis:current problems and surgical treatment. Multimed Man Cardio-thorac Surg, 2006, 8(10): 1115-2005.
11. Agarwal R, Kumar N, Dixit S, et al. Hydatid cyst in the right ventricular outflow tract: Successful surgical outcome of a rare entity. Indian J Thorac Cardiovasc Surg, 2009, 25(1): 40-42.
12. Fazlinezhad A, Moohebati M, Azari A, et al. Acute pericardial tamponade due to ruptured multiloculated myocardial hydatid cyst. Eur J Echocardiogr, 2009, 10(3): 459-461.
13. Yilmazkaya B, Yondem OZ, Gurkahraman S, et al. Direct approach to hydatid cyst of the interventricular septum. Tex Heart Inst J, 2009, 36(2): 174-176.
14. De Paulis R, Seddio F, Colagrande L, et al. Cardiac echinococcosis causing coronary artery disease. Ann Thorac Surg, 1999, 67(6): 1791-1793.
15. Makaryus AN, Hametz C, Mieres J, et al. Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic,transesophageal, and contrast echocardiography. Eur J Echocar-diogr, 2004, 5(3): 223-227.
16. Tufekcioglu O, Birincioglu CL, Arda K, et al. Echocardiography findings in 16 cases of cardiac echinococcosis: proposal for a new classification system. J Am Soc Echocardiogr, 2007, 20(7): 895-904.
17. Xing Y, Bawudong D, Zhang W, et al. Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature. Int J Cardiovasc Imaging, 2011, 27(S1): 97-102.
18. Erentug V, Bozbuga N, Kirali K, et al. Cardiac hydatid cysts: surgical treatment and results. J Card Surg, 2004, 19(4): 358-360.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Surgical Treatment of Cardiac Cystic Echinococcosis

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