Echocardiography findings in 16 cases of cardiac echinococcosis: Proposal for a new classification system

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dc.authoridBirincioglu, Cemal Levent/0000-0002-4660-1480
dc.authoridTufekcioglu, Omac/0000-0003-3478-9292
dc.contributor.authorTufelcioglu, Omac
dc.contributor.authorBirincioglu, Cemal Levent
dc.contributor.authorArda, Kemal
dc.contributor.authorFansa, Iyat
dc.contributor.authorSaritas, Ahmet
dc.contributor.authorKarahan, Mehmet
dc.date.accessioned2024-09-18T21:03:04Z
dc.date.available2024-09-18T21:03:04Z
dc.date.issued2007
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground Echocardiography is a reliable method for diagnosing cardiac echinococcosis (CE). Currently, there is no echocardiographic classification system for CE, but such a scheme would facilitate diagnosis. This article presents echocardiographic data for 16 cases with CE and outlines a method for echocardiographic classification of CE based on the World Health Organization's ultrasonographic classification of cystic echinococcosis. Methods: We assessed the echocardiographic features of hydatid cysts in 16 patients with CE (9 women and 7 men; mean age, 41 +/- 18.3 years), all of whom underwent cardiac surgery. The proposed classification system identifies 3 types of CE lesions: active (unilocular or multilocular and echolucent, showing double-layered cyst wall. and hydatid sand); transitional (shrunken as a result of reduced intracystic pressure, and showing water lily sign); and inactive (completely degenerated contents creating the ball-of-wool sign). Preoperative echocardiographic fmdings (lesion location, imaging appearance[unilocular/muitflocular, solid/semisolid], echocardiographic classification/type, number of lesions) were compared with computed tomographic, intraoperative echocardiographic, surgical, and parasitological findings. Results: Preoperative echocardiography revealed 18 hydatid cysts (10 myocardial, 7 pericardial, I on the ascending aorta). In all, 10 lesions appeared multilocular, 6 unilocular, and 2 solid. A total of 11 were active, 5 transitional, and 2 inactive. Computed tomography identified 20 lesions total, therefore, two were missed on echocardiography. The preoperative echocardiographic findings correlated well with intraoperative echocardiographic, surgical, and parasitological findings. Conclusion: The 3 types of CE lesions defined in this proposed classification system feature distinct echocardiographic characteristics. This new system is reliable and practical, and could assist with diagnosis and rapid treatment of CE.en_US
dc.identifier.doi10.1016/j.echo.2006.12.012
dc.identifier.endpage904en_US
dc.identifier.issn0894-7317
dc.identifier.issue7en_US
dc.identifier.pmid17617317en_US
dc.identifier.scopus2-s2.0-34347352204en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage895en_US
dc.identifier.urihttps://doi.org/10.1016/j.echo.2006.12.012
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13236
dc.identifier.volume20en_US
dc.identifier.wosWOS:000248738600014en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal of The American Society of Echocardiographyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHearten_US
dc.subjectFeaturesen_US
dc.subjectDiseaseen_US
dc.subjectTumoren_US
dc.subjectCystsen_US
dc.titleEchocardiography findings in 16 cases of cardiac echinococcosis: Proposal for a new classification systemen_US
dc.typeArticleen_US

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