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Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation

Selma Lyazidi1, Ayoub Abetti1,2, Amal Abdellaoui1

  • 1Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco.

Annals of Medicine and Surgery (2012)
|June 14, 2021
PubMed

Insights

Hydatid cysts in the right ventricle are rare but life-threatening, potentially causing sudden death. Surgical removal under cardiopulmonary bypass offers a successful treatment for this cardiac hydatidosis.

Area of Science:

  • Cardiology
  • Parasitology
  • Surgical Management

Background:

  • Hydatid cyst (HC) in the right ventricle (RV) is an exceptionally rare cardiac location.
  • Cardiac HC accounts for only 0.5-2% of all hydatid disease cases.
  • RV location poses a severe risk due to potential intracavitary rupture and sudden death.

Observation:

  • A case of a 14-year-old girl with a right ventricle hydatid cyst is presented.
  • Diagnosis was confirmed using advanced imaging modalities.
  • The patient underwent successful surgical excision of the hydatid cyst.

Findings:

  • Surgical excision of the RV hydatid cyst was performed under cardiopulmonary bypass (CPB).
  • The patient's condition was successfully managed through surgical intervention.
  • Echocardiography, CT, and MRI are crucial for diagnosing cardiac hydatid cysts.

Implications:

  • Early suspicion of cardiac HC is vital in endemic regions, particularly with a family history.
  • Surgical treatment combined with CPB and anthelmintic therapy improves prognostic outcomes.
  • Prompt diagnosis and management are critical for preventing fatal complications such as pulmonary embolism or anaphylactic shock.
Abstract

Keywords:
Case reportHeartHydatid cystRight ventricleSCARE guidelines

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