Cardiac cystic echinococcosis: Report of three cases

Ozge Altaş1, Sabit Sarıkaya2, Hakan Saçlı3

  • 1Consultant Cardiovascular Surgeon, Kartal Dr Lutfi Kirdar Training and Research Hospital, Istanbul 34890, Turkey.

Insights

Surgical removal of cardiac hydatid cysts is recommended for all patients, regardless of cyst location or symptoms. This approach ensures complete eradication of the hydatid disease, as demonstrated in a study of three patients.

Area of Science:

  • Cardiology
  • Parasitology
  • Surgical Oncology

Background:

  • Cardiac hydatidosis is a rare parasitic infection caused by Echinococcus granulosus.
  • Cysts can occur in various cardiac locations, including the interventricular septum and ventricular walls.
  • Diagnosis and management require advanced imaging and surgical intervention.

Purpose of the Study:

  • To report the surgical management and outcomes of three patients with cardiac hydatidosis.
  • To evaluate the efficacy of surgical cyst removal in treating cardiac hydatid disease.
  • To emphasize the importance of surgical intervention regardless of cyst characteristics.

Main Methods:

  • Retrospective analysis of three surgically treated cardiac hydatidosis cases (2010-2012).
  • Diagnosis confirmed by echocardiography; Magnetic Resonance Imaging (MRI) used for cyst assessment.
  • Surgical excision performed under cardiopulmonary bypass.

Main Results:

  • Two patients had cysts in the interventricular septum; one had an apicoinferior left ventricular (LV) lesion.
  • All patients underwent successful surgical removal of cardiac hydatid cysts.
  • No postoperative complications or mortality were observed.
  • Patients remained free of hydatid disease at two-year follow-up.

Conclusions:

  • Surgical excision of cardiac hydatid cysts is a safe and effective treatment.
  • Complete removal is crucial for preventing recurrence and ensuring patient recovery.
  • Surgery is indicated for all cardiac hydatidosis cases, including asymptomatic individuals.

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