Echinococcosis is a parasitic infection caused by the larval stage of Echinococcocus granulosus. The most common sites of infection
are the liver (50%–70% of cases) and the lungs (5%–30%). Cardiac and brain lesions are very rare, even in endemic regions (the Mediterranean, South America, Africa, Central Asia and Australia). Cardiac involvement is seen in 0.5–2% of human echinococcosis, and involvement of the interventricular septum is even rarer. We report the case of surgical treatment of a woman who had a large hydatid cyst in the interventricular septum. The treatment of choice, even for asymptomatic cardiac echinococcosis cysts, must be
a surgical removal, which gives a full recovery and good forecast. It is necessary to perform the operation in the conditions of cardiopulmonary bypass and cardioplegia, since the work on the “dry” heart creates conditions for good visualization, the possibility of a thorough sanation of the cyst cavity and its reliable obliteration. Additional conservative treatment with Mebendazole or
Albendazole is strictly recommended to reduce the risk of disease recurrence. It is also advisable to carry out serological and
echocardiographic monitoring during the first 5 postoperative years.
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About the authors
- Ravil' М. Muratov, Dr. Med. Sc., Professor, Head of Department; orcid.org/0000-0003-3321-9028
Svetlana I. Babenko, Dr. Med. Sc., Leading Researcher; orcid.org/0000-0002-2621-4504
Svetlana A. Aleksandrova, Cand. Med. Sc.
Amirbek Sh. Midinov, Cardiovascular Surgeon