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Published on: May 23, 2025
Surgical management of hydatid cyst of the interventricular septum
Srikanth Kasturi1, Makwana Kiritkumar2, Chandan Kumar2
1Department of Cardiothoracic Surgery Narayana Institute of Cardiac Sciences Bengaluru, India.
Insights
Surgical removal of a large cardiac hydatid cyst in the interventricular septum was successful. This case highlights effective management and complete recovery from this rare condition.
Area of Science:
- Cardiology
- Parasitology
- Surgical Sciences
Background:
- Cardiac hydatidosis is a rare parasitic infection, accounting for 0.5-2% of all hydatid diseases.
- The interventricular septum is an uncommon site, involved in approximately 4% of cardiac hydatidosis cases.
Abstract:
Cardiac hydatidosis constitutes about 0.5-2% of all hydatid diseases. The interventricular septum is involved in 4% of cardiac hydatidosis cases. We demonstrate the surgical management of a large (76 x 66 mm) septal hydatid cyst in a 20-year-old man. The hydatid cyst was approached through a right ventriculotomy under cardiopulmonary bypass. The germinative membrane was removed in toto. The cavity was then obliterated to prevent recurrence of the cyst. The patient had an uneventful postoperative recovery. Histopathological examination confirmed the diagnosis of hydatid cyst. The patient remains asymptomatic with echocardiographic and magnetic resonance imaging evidence of freedom from disease at the 3-month follow-up.
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