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Pediatric hydatid cyst with ventricular aneurysm and surgical treatment with dor procedure, case report
Ayşegül Durmaz1, Çağrı Düzyol1, Sibel Gür1
1Department of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey.
Insights
A rare case of complicated cardiac hydatid cyst disease (CHC) in a child presented with arterial occlusion. The Dor procedure was successfully used to preserve ventricular geometry, highlighting a novel surgical approach for pediatric CHC.
Area of Science:
- Cardiology
- Parasitology
- Pediatric Surgery
Background:
- Cardiac hydatid cyst disease (HCD) is uncommon but poses significant risks, including potentially fatal cyst rupture, necessitating surgical intervention.
- This case highlights a rare pediatric presentation of HCD with concurrent cranial and complex cardiac involvement.
Observation:
- A 10-year-old male presented with advanced HCD, including cranial and cardiac lesions.
- Complications included peripheral arterial occlusion and left ventricular apex aneurysmal dilatation.
Findings:
- The Dor procedure, typically rare in pediatric cases, was successfully employed to repair the ventricular aneurysm and preserve cardiac geometry.
- This surgical approach proved effective in managing a complex cardiac hydatid cyst (CHC) in a young patient.
Implications:
- This case underscores the importance of considering HCD even in young patients with atypical presentations.
- The successful application of the Dor procedure in this pediatric case offers valuable insights for surgical management of CHC.
- Advanced HCD in pediatric patients requires tailored surgical strategies for optimal outcomes.
Background:
Cardiac involvement of hydatid cyst disease (HCD) is a rare presentation but may lead to life-threatening complications such as cyst rupture and should be treated surgically.
Methods:
A 10-year-old male patient with cranial and complicated cardiac HCD lesions that caused lower extremity peripheral arterial occlusion and aneurysmatic dilatation in the left ventricular apex is presented.
Results:
Although the patient was in the pediatric age group, the Dor procedure was successfully applied to preserve the ventricular geometry. The Dor procedure for a ventricular aneurysm caused by a cardiac hydatid cyst (CHC) was rarely applied in the pediatric age group.
Conclusion:
In conclusion, this case differs from other CHCs previously reported in the literature due to the advanced stage of the disease, atypical clinical presentation, and rare complications despite the young age of the case. The surgical method used in treating the patient makes the subject more interesting.
