Zusammenfassung
Die kardiale Beteiligung einer Echinokokkose ist eine seltene Erscheinung. Wir berichten von einem 46 Jahre alten Mann mit Symptomen einer Belastungsdyspnoe und einer atypischen Angina pectoris seit vier Monaten, der eine hydatische Zyste des interatrialen Septums sowie des rechten oberen Lungenlappens hatte. Die Diagnose wurde mithilfe von Echokardiographie, Röntgen und Computertomographie des Thoraxes gestellt. Nach chirurgischer Resektion wurde die Zyste eröffnet, der Inhalt drainiert und die membranösen Strukturen komplett entfernt. Die postoperative medikamentöse Behandlung mit Albendazol führte zur kompletten Heilung mit Symptomfreiheit ein Jahr nach dem chirurgischen Eingriff.
Summary
Echinococcal involvement of the heart is a rare occurrence. We report a case of a 46-year-old man with a four-month history of exertional dyspnea and symptoms of atypical angina pectoris, who had a hydatid cyst located in the interatrial septum as well as in the right upper pulmonary lobe. The diagnosis was made by echocardiography, X-ray, and computed tomography. After surgical resection the cyst was opened, its contents were drained, and membranous structures were completely removed. Postoperative albendozol treatment yielded a definite cure with the relief of all symptoms one year postoperatively.
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Cevirme, D., Yerebakan, C., Bayraktar, S. et al. Cardiac hydatid cyst of the interatrial septum. Wien Med Wochenschr 159, 470–472 (2009). https://doi.org/10.1007/s10354-009-0707-3
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DOI: https://doi.org/10.1007/s10354-009-0707-3