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Perioperative management of intramyocardial hydatid cyst with off-pump technique

Yamini Gupta1, Madhuri Priyadarshi1

  • 1Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India.

Annals of Cardiac Anaesthesia
|January 17, 2019
PubMed

Insights

Cardiac echinococcosis, a rare condition, requires surgical removal of heart hydatid cysts, even in asymptomatic patients. This case highlights successful off-pump removal of an asymptomatic intramyocardial hydatid cyst.

Area of Science:

  • Cardiology
  • Parasitology
  • Surgical Oncology

Background:

  • Cardiac echinococcosis is a rare parasitic infection with potentially severe clinical manifestations, including arrhythmias, heart failure, and sudden death.
  • Surgical excision is the definitive treatment for cardiac hydatid cysts, irrespective of patient symptoms.

Observation:

  • A 21-year-old male presented asymptomatically with an incidentally discovered intramyocardial hydatid cyst.
  • Diagnostic imaging revealed the cyst on the left ventricle's lateral wall with extensions.

Findings:

  • The case successfully demonstrates off-pump surgical removal of an asymptomatic intramyocardial hydatid cyst.
  • The procedure involved precise excision of the cyst while preserving cardiac function.

Implications:

  • This case underscores the importance of early diagnosis and surgical intervention for cardiac hydatid disease.
  • Off-pump techniques may offer a viable option for managing intramyocardial hydatid cysts, potentially reducing surgical risks.

Keywords:
Intramyocardial hydatid cystoff-pump techniquesurgical management of intramyocardial hydatid cyst

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