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Interventricular hydatid cyst with atrioventricular block: a case report

Gianclaudio Mecozzi1, Francesco Verunelli, Massimo A Mariani

  • 1Cardiology, Cardiac and Thoracic Department, University of Pisa, Pisa, Italy.

Italian Heart Journal : Official Journal of the Italian Federation of Cardiology
|July 10, 2003
PubMed

Insights

Cardiac hydatid cysts are rare, but this case highlights the need for surgical intervention. Prompt treatment of heart echinococcosis prevents life-threatening complications like rupture and anaphylaxis.

Area of Science:

  • Cardiology
  • Parasitology
  • Infectious Diseases

Background:

  • Hydatid cysts in the heart are uncommon, accounting for approximately 3% of human echinococcosis cases.
  • Cardiac echinococcosis can lead to severe complications, including atrioventricular block.

Observation:

  • A 21-year-old female presented with third-degree atrioventricular block.
  • Echocardiography revealed a 2.5 cm cystic mass in the interventricular septum.
  • Serological tests confirmed Echinococcus infection.

Findings:

  • Surgical intervention was performed for the cardiac hydatid cyst.
  • The cystic cavity was sterilized with formaldehyde before cyst removal.
  • The patient required pacemaker implantation due to the atrioventricular block.

Implications:

  • Cardiac hydatid cysts necessitate surgical management to avoid fatal outcomes.
  • Potential complications include cystic rupture, embolic events, and anaphylactic shock.
  • Early diagnosis and treatment are crucial for managing cardiac echinococcosis.

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