1921
Volume 77, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

We report a rare case of cardiac manifestation of cystic echinococcosis in a young Turkish patient. The patient had a history of cardiac surgery caused by a spontaneously ruptured cardiac mass that was intraoperatively diagnosed as a manifestation of cystic echinococcosis. Spread of the disease occurred in the lower mediastinum and pericardium. The patient was treated with antihelmintic medication in the postsurgical course. Follow-up was performed by cardiac magnetic resonance imaging (MRI) and dual-source cardiac–computed tomography (CT). We present the advantages and limitations of both imaging modalities in diagnosing cardiac manifestations of cystic echinococcosis and discuss their impact on therapy planning. We conclude that cardiac MRI and dual-source Cardio-CT contribute in a complimentary way to diagnosing and assessing cyst activity and extend of disease. Imaging plays a major role in the management of this disease because it can detect a response to antihelmintic medication or identify possible treatment options.

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2007-11-01
2017-11-22
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References

  1. Eckert JG, Gemmell MA Meslin F-X, Pawlowski ZS, 2001. WHO/OIE Manual on Echinococcosis in Humans and Animals: A Public Health Problem of Global Concern. Paris, France: World Health Organization/World Organization for Animal Health, 20–47.
  2. Vuitton DA, 1997. The WHO Informal Working Group on Echinococcosis. Coordinating Board of the WHO-IWGE. Parassitologia 39 : 349–353.
  3. Ahmed T, Al-Zaibag M, Allan A, Gabriel C, Widaa H, Hulaimi N, Saileek A, Pai RG, 2002. Cardiac echinococcosis causing acute dissection of the left ventricular free wall. Echocardiography 19 : 333–336.
  4. McManus DP, Zhang W, Li J, Bartley PB, 2003. Echinococcosis. Lancet 362 : 1295–1304.
  5. Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A, 2003. Hydatid disease from head to toe. Radiographics 23: 475–494, quiz 536–537.
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  • Received : 27 Jun 2007
  • Accepted : 05 Aug 2007

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