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Multiple hydatid cysts of epicardium and pericardium
International Journal of Cardiology
|December 18, 2001
Insights
This case report details multiple hydatid cysts in the heart, leading to rupture and fluid buildup. Surgical removal from the beating heart successfully treated this rare parasitic infection.
Area of Science:
- Cardiology
- Parasitology
- Surgical Case Reports
Background:
- Hydatid cysts are parasitic infections caused by Echinococcus tapeworms.
- Cardiac involvement is rare, with epicardial and pericardial locations being exceptionally uncommon.
- Rupture and dissemination of hydatid cysts pose significant risks.
Observation:
- A patient presented with multiple hydatid cysts affecting the epicardium and pericardium.
- The cysts had ruptured, leading to significant pericardial effusion (1700 ml).
- Diagnosis was confirmed via hemagglutinin test, echocardiography, computed tomography, and histological examination.
Findings:
- Twelve hydatid cysts were identified in the epicardium and pericardium.
- Surgical intervention involved the removal of all cysts and pericardial fluid while the heart was beating.
- Histological examination confirmed the presence of Echinococcus cysts.
Implications:
- This case highlights the importance of considering parasitic infections in cardiac pathologies, even in non-endemic areas.
- Successful surgical management on a beating heart demonstrates the feasibility of treating such rare conditions.
- Early and accurate diagnosis through imaging and serological tests is crucial for timely intervention and improved patient outcomes.
Abstract:
We report a case of multiple hydatid cysts of epicardium and pericardium with rupture and dissemination. The diagnosis was established by hemagglutinin test, echocardiography and computed tomography and confirmed by histological examination. Entirely, 12 cysts of epi- and pericardium and 1700 ml of pericardial fluid were removed during operation on the beating heart.