ABSTRACT
Results of surgical treatment of 12 patients with the combined hydatid disease of heart and target organs (liver, lungs) are analyzed. Authors recommend echocardiography for all the patients with echinococcosis of target organs as a means of timely heart involvement diagnostics. Simultaneous surgery for the combined hydatid disease is recommended. The use of artificial circulation is reasonable for cardiac echinococcosis (n=66,7%) treatment, whereas pericardial hydatid cysts (n=33,3%) can be operated without such measures. Cyst perforations to the heart cavity should be considered a fatal complication of the disease. Intraoperative lethality achieved 25%.
Subject(s)
Cardiac Surgical Procedures/methods , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/surgery , Heart Diseases/surgery , Laparotomy/methods , Pericardium/surgery , Thoracotomy/methods , Adolescent , Adult , Animals , Child , Echinococcosis, Hepatic/complications , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnosis , Echinococcus/isolation & purification , Echocardiography , Female , Follow-Up Studies , Heart Diseases/complications , Heart Diseases/parasitology , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , Liver/diagnostic imaging , Liver/surgery , Lung/diagnostic imaging , Lung/parasitology , Lung/surgery , Male , Pericardium/diagnostic imaging , Pericardium/parasitology , Radiography , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Results of surgical treatment of patients with cardiac valves prosthetic endocarditis are discussed. General hospital lethality was 15.4%. Immediate results of operations using different type of prosthetic cardiac valves were analyzed. Biological grafts permits to decrease the rate of prosthetic endocarditic recurrence on hospital stage. Urgency of repeated surgery and also radical resection of infected focus with possible reconstruction of fibrous ring integrity influence hospital lethality.
Subject(s)
Endocarditis, Bacterial/microbiology , Endocarditis, Bacterial/surgery , Heart Valve Prosthesis/microbiology , Adult , Aged , Algorithms , Female , Humans , Male , Middle Aged , Postoperative Complications/mortalityABSTRACT
Tactical and technical features of treatment of patients with mitral restenosis are discussed. The results (surgical lethality was 6.41%) confirm the necessity of surgical treatment of mitral restenosis with artificial circulation. Close commissurotomy may be regarded as the stage of the treatment of mitral stenosis, particularly under real existing Russian conditions.
