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Intracavitary cardiac hydatid cyst.
A Abid1, S Ben Omrane, K Kaouel
1Department of Cardiovascular Surgery, La Rabta Hospital, 1007 Jabbari, Tunis, Tunisia.
Cardiovascular Surgery (London, England)
|November 25, 2003
Summary
Intracavitary cardiac hydatid cysts require surgical intervention, often necessitating cardiopulmonary bypass. While surgery yields satisfactory short-term outcomes, recurrence of pulmonary cysts is common, highlighting the need for post-operative medical treatment with Albendazole.
Area of Science:
- Cardiology
- Parasitology
- Thoracic Surgery
Background:
- Hydatid cysts, caused by Echinococcus granulosus, can affect various organs, including the heart.
- Intracavitary cardiac involvement presents unique diagnostic and management challenges.
Purpose of the Study:
- To determine diagnostic methods, surgical management, and prognosis for patients with intracavitary cardiac hydatid cysts.
- To evaluate the outcomes of surgical intervention and medical treatment in a series of patients.
Main Methods:
- Retrospective case series of seven patients with intracavitary cardiac hydatid cysts.
- Diagnosis aided by coexisting pulmonary hydatid locations.
- Surgical management involved cardiopulmonary bypass, aortic cross-clamping, and cardioplegia.
Main Results:
- All cysts were located in the right cardiac chambers.
- Postoperative recovery was satisfactory for all patients.
- Pulmonary cyst recurrence occurred in all patients after a mean of 42 months; medical treatment (Albendazole) was initiated.
- One late death occurred at 3 years due to chronic right heart failure.
Conclusions:
- Intracavitary cardiac hydatid cysts should be suspected in patients with pulmonary or systemic embolization.
- Early surgical treatment is crucial.
- Post-operative medical management with Albendazole is essential to prevent recurrence.