[Giant left ventricle cardiac hydatid cyst : report of a challenging case]

F Lachhab1, H Leghlimi2, L Mahfoudi1

  • 1Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc.

Annales De Cardiologie Et D'Angeiologie
|August 28, 2023
PubMed

Insights

This case study details a rare cardiac hydatid cyst in a patient with a history of pulmonary cysts. Surgical intervention successfully reconstructed the left ventricle wall using a double patch.

Area of Science:

  • Parasitology
  • Cardiology
  • Surgical Innovation

Background:

  • Hydatidosis is a parasitic disease with humans as accidental hosts.
  • Cardiac hydatidosis involves the larval form of Echinococcus granulosus developing in the heart.
  • This parasitic infection can be fatal if left untreated.

Purpose of the Study:

  • To report a rare case of a large hydatid cyst in the left ventricle.
  • To describe the clinical presentation and management of cardiac hydatidosis.
  • To emphasize the surgical approach for left ventricular reconstruction.

Main Methods:

  • A patient with a history of pulmonary hydatid cysts presented with atypical chest pain.
  • Diagnostic imaging revealed a large hydatid cyst (80/66 mm) in the anterior and lateral left ventricle.
  • Surgical intervention was performed under extracorporeal circulation.

Main Results:

  • The hydatid cyst caused significant thinning of the left ventricular wall.
  • The cyst was in close proximity to the left anterior descending and circumflex arteries.
  • The left ventricular wall was successfully reconstructed using a double patch technique.

Conclusions:

  • Large cardiac hydatid cysts pose a significant surgical challenge.
  • Extracorporeal circulation is crucial for managing complex cardiac hydatidosis cases.
  • Successful surgical reconstruction can restore left ventricular integrity.

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