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Presentation of pericardial hydatid cyst as acute cardiac tamponade

Aleksandar Bogdanovic1, Milan Radojkovic2, Ruzica Jankovic Tomasevic3

  • 1Cardiothoracic Surgery Clinic, Clinical Center, Bulevar Zorana Djindjica 48, 18000 Nis, Serbia.

Asian Journal of Surgery
|January 8, 2014
PubMed

Insights

A rare case of isolated pericardial hydatid cyst causing cardiac tamponade was successfully treated. Surgical removal and albendazole therapy led to a full recovery without recurrence.

Area of Science:

  • Cardiology
  • Parasitology
  • Thoracic Surgery

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
  • Pericardial hydatid cysts are exceptionally rare, with few reported cases.
  • Cardiac tamponade is a life-threatening condition requiring urgent intervention.

Observation:

  • A 47-year-old man presented with acute pericardial tamponade due to an isolated pericardial hydatid cyst.
  • Initial transthoracic echocardiography confirmed the cyst and pericardial effusion.
  • Emergent pericardial drainage was performed to stabilize the patient.

Findings:

  • Computed tomography revealed a pericardial cyst without myocardial involvement.
  • Complete surgical excision was achieved via anterior thoracotomy, avoiding cardiopulmonary bypass.
  • Postoperative albendazole treatment was administered.

Implications:

  • This case highlights the possibility of treating isolated pericardial hydatid cysts with less invasive surgical approaches.
  • Early diagnosis and intervention are crucial for managing this rare cause of cardiac tamponade.
  • Successful surgical management and antiparasitic therapy can lead to excellent long-term outcomes.

Keywords:
acute cardiac tamponadehydatid diseasepericardium

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