Cardiac echinococcosis in a 3-year-old child

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A K Bozkurt1, C Köksal

  • 1Department of Thoracic and Cardiovascular Surgery, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey. akbozkurt@yahoo.com

The Journal of Cardiovascular Surgery
|June 5, 2004
PubMed

Insights

A rare case of a 3-year-old girl with a left ventricular hydatid cyst, alongside other organ involvement, was successfully treated. Surgical removal of the cardiac cyst was performed with excellent recovery.

Area of Science:

  • Cardiology
  • Parasitology
  • Pediatric Surgery

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, are rare in pediatric cardiac settings.
  • Cardiac involvement, particularly in the left ventricle, presents significant diagnostic and therapeutic challenges.

Observation:

  • A 3-year-old female presented with multiple hydatid cysts affecting the lungs, liver, spleen, and notably, the left ventricle.
  • Diagnostic imaging included computerized tomography (CT), cardiac magnetic resonance imaging (CMR), and transthoracic echocardiography (TTE).

Findings:

  • Multimodality imaging confirmed a left ventricular hydatid cyst.
  • Surgical excision (cystectomy) was successfully performed on a beating heart.

Implications:

  • This case highlights the importance of comprehensive imaging for diagnosing cardiac hydatid disease in children.
  • Successful surgical management of left ventricular hydatid cysts is feasible, even in young patients, with favorable outcomes.

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