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Solitary pericardial hydatid cyst
O Rena1, M Garavoglia, M Francini
1Division of Thoracic Surgery, Maggiore della Carità General Hospital, Novara, Italy. ottavio.rena@tiscalinet.it
Insights
Hydatid cysts in the heart are rare but dangerous. Surgical removal, like pericardiectomy, offers a safe and effective treatment, even for elderly patients with giant pericardial cysts.
Area of Science:
- Cardiology
- Parasitology
- Surgical Oncology
Background:
- Hydatid cyst of the heart is an uncommon manifestation of echinococcosis.
- Echinococcus granulosus endemic areas necessitate high suspicion for cyst-like cardiac masses.
Observation:
- Echocardiography, CT, and MRI aid in differential diagnosis of cardiac lesions.
- A single giant pericardial hydatid cyst was observed in a 78-year-old female patient from North Africa.
Findings:
- Surgical excision is the definitive treatment for cardiac hydatid cysts.
- Pericardiectomy with cyst removal demonstrated low morbidity and mortality in this elderly patient.
Implications:
- Successful surgical management of giant pericardial hydatid cysts is feasible in elderly patients.
- Highlights the importance of considering echinococcosis in endemic populations with cardiac masses.
Abstract:
Hydatid cyst of the heart is an uncommon presentation of human echinococcosis which may lead to life-threatening conditions. Diagnosis should be suspected in every case of cyst-like mass in persons coming from areas where echinococcus granulosus is endemic. Echocardiography, computed tomography and magnetic resonance imaging can help in the differential diagnosis of the lesion. Even if some reports of successful therapy with benzimidazoles have been described, the treatment of choice is the surgical excision of the cyst. Pericardiectomy with cyst removal is feasible with low morbidity and mortality rates even in elder patients. The authors describe the successful surgical management of a single giant pericardial hydatid cyst in a 78-year-old woman from North Africa.
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