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Primary cardiac hydatic cyst with multiple locations: an unusual case of chest pain
Tiago R Velho1,2, João Moreira Gonçalves3, Rafael Maniés Pereira3
1Cardiothoracic Surgery Department, Hospital de Santa Maria-CHLN, Av. Prof. Egas Moniz, 1649-035, Lisboa, Portugal. tiagovelho48@hotmail.com.
Insights
Cardiac echinococcosis, a rare but serious condition, requires prompt surgical intervention. This case highlights successful surgical resection of multiple cardiac hydatid cysts, leading to a full recovery.
Area of Science:
- Cardiology
- Parasitology
- Surgical Oncology
Background:
- Cardiac echinococcosis is a rare parasitic infection with significant morbidity.
- Surgical intervention is often necessary for life-threatening cardiac manifestations.
Observation:
- A 66-year-old male presented with chest pain.
- Diagnostic imaging confirmed multiple cardiac hydatid cysts.
Findings:
- The patient underwent surgical resection of cardiac hydatid cysts with cardiopulmonary bypass.
- Complete resection was achieved, and the patient remains asymptomatic.
Implications:
- This case underscores the importance of cardiac screening in patients with echinococcosis.
- Early surgical management is crucial for favorable outcomes in cardiac echinococcosis.
Abstract:
Cardiac echinococcosis is a rare manifestation of Echinococcus infection, affecting 0.5-2% of the patients. Since it may be a life-threatening condition, surgical treatment should be always considered. Herein, here we present a case of a 66-year-old male with chest pain. Subsequent exams confirmed the diagnosis of multiple cardiac hydatic cysts. The patient initiated treatment with albendazole and was submitted to a surgical resection with cardiopulmonary bypass. A complete surgical resection was achieved, and patient remains asymptomatic without disease signs of recurrence on imaging exams. We highlight the necessity of cardiac screening in echinococcosis cases and the surgical management in this case.
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