RESUMEN
La equinococosis es una infección endémica en los países cálidos. La afectación cardíaca es rara, pero grave. El riesgo de shock anafiláctico durante la cirugía, precisa de un rápido diagnóstico intraoperatorio y de un tratamiento inmediato. Presentamos el caso de un varón de 35 años, al que se le detectó un quiste hidatídico cardíaco, tributario de cirugía. Previo tratamiento con albendazol oral durante un mes y pauta de anti-H1, anti-H2 y corticoides las 24h previas, se procedió a extirpar el quiste con circulación extracorpórea. Intraoperatoriamente se administraron además, bolus de hidrocortisona y dexclorfeniramina y se protegió el campo quirúrgico con gasas empapadas en suero salino hipertónico. El paciente precisó perfusión de noradrenalina para mantener la estabilidad hemodinámica. Evolucionó sin más complicaciones y fue dado de alta a los 14 días(AU)
Echinococcosis is an endemic infection in hot countries. Cardiac involvement is rare, but serious. The risk of anaphylactic shock during surgery requires a rapid intra-operative diagnosis and immediate treatment. We present the case of a 35 year-old male in whom a cardiac hydatid cyst was detected that required surgery. He was given preliminary treatment with oral albendazole for one month and prescribed anti-H1, anti-H2 and corticosteroids prior to the removal of the cyst using bypass surgery. During the operation he was also given a bolus of hydrocortisone and dexchlorpheniramine and the surgical area was protected by gauzes soaked in hypertonic saline. The patient required an infusion of noradrenaline to maintain haemodynamic stability. He progressed with no more complications, and was discharged at 14 days(AU)
Asunto(s)
Humanos , Masculino , Adulto , Equinococosis/tratamiento farmacológico , Anestesia , Albendazol/uso terapéutico , Corticoesteroides/uso terapéutico , Circulación Extracorporea/métodos , Hidrocortisona/uso terapéutico , Cirugía Torácica/métodos , Cirugía Torácica/tendencias , Anafilaxia/tratamiento farmacológico , Circulación Extracorporea/tendencias , Circulación Extracorporea , Hemodinámica , Hemodinámica/fisiologíaRESUMEN
Echinococcosis is an endemic infection in hot countries. Cardiac involvement is rare, but serious. The risk of anaphylactic shock during surgery requires a rapid intra-operative diagnosis and immediate treatment. We present the case of a 35 year-old male in whom a cardiac hydatid cyst was detected that required surgery. He was given preliminary treatment with oral albendazole for one month and prescribed anti-H1, anti-H2 and corticosteroids prior to the removal of the cyst using bypass surgery. During the operation he was also given a bolus of hydrocortisone and dexchlorpheniramine and the surgical area was protected by gauzes soaked in hypertonic saline. The patient required an infusion of noradrenaline to maintain haemodynamic stability. He progressed with no more complications, and was discharged at 14 days.
