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Recurrent apical cardiac hydatid cyst presenting with angina

O S Göksel1, S Tanju, B Surmen

  • 1Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. onurgokseljet@gmail.com

Acta Chirurgica Belgica
|February 27, 2009
PubMed

Insights

Recurrent pericardial hydatid cysts, a rare heart condition caused by Echinococcus Granulosus tapeworm, can be treated with minimally invasive surgery. This approach avoids cardiopulmonary bypass and resternotomy, offering a safe and effective solution for patients.

Area of Science:

  • Cardiology
  • Parasitology
  • Thoracic Surgery

Background:

  • Hydatid disease, caused by Echinococcus Granulosus larvae, is a parasitic infection.
  • Cardiac hydatid cysts are rare but can be life-threatening.
  • Recurrent pericardial cysts present a unique surgical challenge.

Observation:

  • A 42-year-old man presented with chest pain and ECG changes due to a recurrent pericardial cyst.
  • The cyst was successfully removed via a limited anterolateral thoracotomy.
  • Cardiopulmonary bypass and resternotomy were avoided.

Findings:

  • Minimally invasive thoracotomy allowed for direct cyst enucleation.
  • The patient experienced no complications at 6-month follow-up.
  • Recurrent pericardial hydatid cysts are treatable with targeted surgical intervention.

Implications:

  • This case highlights a successful minimally invasive approach for recurrent pericardial hydatid cysts.
  • Early diagnosis is crucial, especially in endemic areas, for patients with anginal symptoms or cyst-like masses.
  • Surgical techniques can be tailored to avoid major complications like resternotomy and cardiopulmonary bypass.

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