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Is surgical therapy the only treatment of choice for cardiac echinococcossis with multiple organ involvement?

Department of Cardiovascular Surgery, Kosuyolu Heart and Research Hospital, 81020 Istanbul, Turkey

^* Corresponding author. Tel.: +90-216-326-6969; fax: +90-216-339-0441
nbozbuga{at}kosuyolu.gov.tr

A 25-year-old male patient suffered from multi-organ hydatidosis including cardiac and bilateral pulmonary echinococcosis. Echocardiography revealed the hydatid cyst 20x35 mm in dimension located in the interventricular septum. The patient refused surgery; albendazole 400 mg/day was given orally and was continued for 24 months. The follow-up echocardiography 24 months later showed that the cyst showed regression 15x25 mm in dimension and demonstrated albendazole-induced echocardiographic changes. Medical treatment in hydatid disease might be recommended when the disease is extensive, the surgery is contraindicated or refused by the patient.

Key Words: Cardiac hydatid cyst; Multi-organ echinococcosis; Albendazole