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Cardiopericardial hydatid cysts

H Thameur1, S Abdelmoula, S Chenik

  • 1Department of Cardiovascular Surgery, Military Hospital of Tunis, Tunisia. thameur@francimel.com

World Journal of Surgery
|February 24, 2001
PubMed

Insights

Cardiac hydatid cysts are rare parasitic infections. Surgical removal is standard, but conservative methods may be needed to preserve heart function, with a 5.5% operative mortality.

Area of Science:

  • Cardiology
  • Parasitology
  • Infectious Diseases

Background:

  • Cardiac hydatid cyst is a rare parasitic disease.
  • This study focuses on a series of 45 patients diagnosed with cardiac hydatid cysts.

Purpose of the Study:

  • To report on the clinical characteristics, diagnosis, and management of cardiac hydatid cysts.
  • To evaluate the outcomes of surgical interventions for cardiac hydatid cysts.

Main Methods:

  • Retrospective analysis of 45 patients with cardiac hydatid cysts.
  • Diagnosis was confirmed using hydatid serology and advanced imaging techniques (echocardiography, CT, MRI).
  • Surgical management included cystopericystectomy and conservative approaches (partial pericystectomy).

Main Results:

  • 33 out of 45 patients had a primitive cardiac cyst.
  • 18 patients were asymptomatic, while 27 presented with symptoms like dyspnea and chest pain.
  • Acute complications revealed the cyst in 11 cases, including pulmonary metastatic hydatidosis in 3.
  • Operative mortality was 5.5%, with two reported pericardial recurrences during follow-up.

Conclusions:

  • Cardiac hydatid cysts require a tailored surgical approach, balancing radical removal with organ preservation.
  • Early diagnosis through serology and imaging is crucial for effective management.
  • While cystopericystectomy is preferred, conservative techniques are vital for specific locations to maintain cardiac function.

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