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Invasive pericardial hydatid cyst: Excision of multiple huge cysts

Jignesh Kothari1, Ketav Lakhia1, Parth Solanki1

  • 1U.N. Mehta Institute of Cardiology and Research Center, (Affiliated to B.J. Medical College), Civil Hospital Campus, Asarwa, Ahmedabad, aIndia.

Journal of the Saudi Heart Association
|January 28, 2017
PubMed

Insights

Cardiac hydatid cysts are rare and challenging to treat. This case highlights a young male with a large, invasive pericardial hydatid cyst presenting with unusual chest pain.

Area of Science:

  • Cardiology
  • Parasitology
  • Surgical Pathology

Background:

  • Cardiac hydatid cyst is an uncommon parasitic infection.
  • It presents diagnostic and therapeutic challenges due to variable clinical manifestations and potential complications.

Purpose of the Study:

  • To report a rare case of multiple, multifocal, huge pericardial hydatid cysts.
  • To describe the invasion into cardiac structures and pulmonary artery.
  • To discuss the management of such a complex case.

Main Methods:

  • Case presentation of a young male with atypical chest pain.
  • Diagnostic imaging (e.g., echocardiography, MRI) to delineate cyst size, location, and invasion.
  • Surgical intervention for cyst removal.

Main Results:

  • The patient presented with multiple, large hydatid cysts in the pericardium.
  • Significant invasion into the left ventricle and main pulmonary artery was observed.
  • The patient experienced atypical chest pain as the primary symptom.

Conclusions:

  • Large, invasive pericardial hydatid cysts are rare but pose significant risks.
  • Early and accurate diagnosis is crucial for effective management.
  • Multidisciplinary surgical approaches are often necessary for complex cardiac hydatid disease.

Keywords:
AlbendazoleCystectomyEchinococcosisPericardial hydatid cyst

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