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Primary Isolated Interventricular Hydatid Cyst With Left Ventricular Vegetation Presents With Neurological

Albaraa Bara1, Sabah Refaieh2, Jia Batha3

  • 1Department of Cardiothoracic Surgery Damascus University Cardiovascular Surgical Center Damascus Syrian Arab Republic.

Clinical Case Reports
|August 1, 2025
PubMed

Insights

Hydatid cyst embolism is a rare cause of stroke in young individuals, particularly in endemic regions. Early recognition of cardiac hydatid cysts is crucial for preventing neurological damage.

Area of Science:

  • Medicine
  • Neurology
  • Cardiology

Background:

  • Hydatid disease, caused by Echinococcus granulosus, is endemic in many regions.
  • Cardiac hydatid cysts are rare, accounting for 0.5%-2% of all cases, with interventricular septum involvement being exceptionally uncommon.
  • Cerebral embolization from cardiac hydatid cysts can present as stroke, especially in young patients.

Purpose of the Study:

  • To highlight the importance of considering hydatid cyst embolism as a differential diagnosis for stroke in young patients.
  • To report a case of a 17-year-old patient with a cerebral hydatid cyst embolism originating from an interventricular septum cyst.
  • To emphasize the diagnostic utility of echocardiography and the efficacy of surgical intervention.

Main Methods:

  • Case report of a 17-year-old male presenting with stroke-like symptoms.
  • Neurological examination and brain MRI to identify cerebral lesions.
  • CT neck of the neck, chest, abdomen, and pelvis (NCAP) to detect cardiac abnormalities.
  • Surgical removal of the cardiac hydatid cyst via open-heart surgery.

Main Results:

  • The patient presented with right-sided weakness and expressive aphasia, indicative of a stroke.
  • Brain MRI revealed multiple cerebral lesions.
  • CT NCAP identified a cystic formation in the cardiac interventricular septum.
  • Surgical resection of the hydatid cyst was successfully performed.

Conclusions:

  • Hydatid cyst embolism should be considered in the differential diagnosis of stroke in young patients, especially in endemic areas.
  • Cardiac hydatid cysts, even those in rare locations like the interventricular septum, can lead to significant neurological complications.
  • Prompt diagnosis and surgical management are essential for favorable outcomes.

Keywords:
case reporthemiparesishydatid cystinterventricular septum

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