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Large right ventricular hydatid cyst in a child: a case report
Kourosh Vahidshahi1, Tahmineh Tahouri2, Farzaneh Farahmandi1
1School of Medicine, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Cystic hydatid disease, caused by Echinococcus granulosus, rarely affects the heart. This case highlights a child with a rare right ventricle hydatid cyst, successfully treated with surgery.
Area of Science:
- Parasitology
- Cardiology
- Pediatrics
Background:
- Cystic hydatid disease is a global parasitic infection caused by Echinococcus granulosus larvae.
- Cardiac involvement is rare, often presents atypically, and is diagnosed in about 10% of cases.
- Isolated right ventricle hydatid cysts are exceptionally rare, particularly in pediatric patients.
Purpose of the Study:
- To describe a rare case of a pediatric patient with a hydatid cardiac cyst located in the right ventricle.
Main Methods:
- A case report of an 8-year-old boy from a rural, endemic area is presented.
- The patient exhibited dyspnea, cough, and chest pain, with diagnosed multiple pulmonary and a right ventricular hydatid cyst.
- Surgical resection of both pulmonary and cardiac cysts was performed.
Main Results:
- The patient underwent successful surgical resection of pulmonary and cardiac hydatid cysts.
- Seven weeks post-surgery, the patient showed a favorable outcome with no clinical or echocardiographic recurrence.
Conclusions:
- Cardiac echinococcosis requires a high index of suspicion in endemic regions.
- Accurate diagnosis relies on appropriate imaging modalities.
- Timely and appropriate surgical treatment is crucial for favorable outcomes.
Background:
Cystic Hydatid disease is a parasitic infection with a worldwide distribution. It is caused by the larval stages of a species of tapeworms known as Echinococcus granulosus. Even in endemic areas; Cardiac involvement by hydatidiosis is very rare and has atypical presentations as well as localization which make it undiagnosed in about 10% of cases. The left ventricle is the most Common chamber involved by the hydatid cyst and isolated involvement of the right ventricle is very rare, especially in children. The aim of the present study was to describe hydatid cardiac cyst of the right ventricle of a child.
Case Presentation:
We present a rare case of an 8 year-old boy, living in a rural area, who was diagnosed with a cardiac hydatid cyst in the right ventricle. He also had multiple pulmonary hydatid cysts and presented with dyspnea, cough and atypical chest pain. The patient underwent surgery for the resection of pulmonary cysts and, subsequently, cardiac hydatid cyst. The outcome was favorable seven weeks after surgery and there was no clinical and echocardiographic recurrence.
Conclusion:
Cardiac Echinococcosis must be suspected in endemic areas, diagnosed with appropriate imaging techniques, and treated appropriately.
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