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  • Title: [Hydatid cyst of the heart. Apropos of 9 cases].
    Author: Ben-Ismaïl M, Fourati M, Bousnina A, Zouari F, Lacronique J.
    Journal: Arch Mal Coeur Vaiss; 1977 Feb; 70(2):119-27. PubMed ID: 403888.
    Abstract:
    The authors report 9 cases of hydatic cyst of the heart which they have encountered over an 8 year period. They illustrate the variable nature of this parastic illness, which may stimulate almost and cardiovascular disorder. The various clinical presentations and the methods of diagnosis and treatment are presented: the clinical picture is of little help in establishing the diagnosis. This is made at three levels: the history (country of origin where the disease is endemic, or other associated cyst), the presence of Xray of a swelling of the heart which is later calcified, and the presence on the electrocardiograph of ischaemic changes, which may be severe enough for necrosis. They emphasise the importance of serological tests to make a formal diagnosis of the condition, and a repetition of such tests as part of the postoperative follow-up. Surgical treatment (usually by an open heart technique) is the rule. It may be coupled with medical treatment with anti-malarials (paludrin of flavoquin).
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