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Khirurgiia (Mosk) ; (5): 23-6, 2009.
Article in Russian | MEDLINE | ID: mdl-19491763

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 Adult
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