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Published on: March 31, 2023
Cardiac hydatid cyst: report of two cases
Haşim Ustünsoy1, Ilyas Akdemir, M Cumhur Sivrikoz
1Department of Thoracic and Cardiovascular Surgery, Gaziantep University Medical Faculty, Gaziantep, Turkey. hustunsoy@yahoo.com
Insights
Cardiac hydatid cysts are rare but life-threatening. Early diagnosis and surgical treatment, alongside albendazole therapy, are crucial for survival in patients with these cardiac masses.
Area of Science:
- Medicine
- Cardiology
- Parasitology
Background:
- Cardiac hydatid cyst is a rare but potentially fatal condition.
- Often asymptomatic, it can lead to severe complications if not diagnosed early.
- Prompt diagnosis and treatment are essential for patient survival.
Purpose of the Study:
- To report two distinct cases of cardiac hydatid cysts.
- To highlight diagnostic modalities and successful treatment strategies.
- To emphasize the importance of early intervention for this rare cardiac pathology.
Main Methods:
- Case report of two patients with cardiac hydatid cysts.
- Diagnostic imaging included 2-D echocardiography and magnetic resonance imaging.
- Surgical intervention utilized extracorporeal circulation with adjunctive albendazole therapy.
Main Results:
- A 30-year-old woman presented with a large, primary multivesicular hydatid cyst in the left ventricle.
- A 17-year-old woman had multivisceral involvement including a cardiac hydatid cyst with an atrial septal defect and pulmonary hypertension.
- Both cases were successfully treated with surgical excision and albendazole.
Conclusions:
- Cardiac hydatid cysts, though rare, require timely diagnosis and aggressive management.
- Multimodality imaging is key for accurate diagnosis.
- Surgical resection combined with medical therapy offers a life-saving treatment option.
Abstract:
Cardiac hydatid cyst is life threatening but rare. It is usually asymptomatic and has potentially lethal complications, so early diagnosis with definitive treatment is life-saving. In the present article, we report two cases. The first is a 30-year-old woman with a primary large multivesicular hydatid cyst in the left ventricle. The second is a 17-year-old woman who had multivisceral involvement with a cardiac hydatid cyst, a congenital cardiac anomaly that was an atrial septal defect complicated by pulmonary hypertension. 2-D echocardiography and magnetic resonance imaging confirmed the diagnosis. Surgical treatment was performed using extracorporeal circulation and adjunctive albendazol therapy.
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