Abstract
IntroductionHydatid cyst of the heart provides very rarely because of contractions of the heart natural resistance to the presence of viable cysts. Patients with cardiac hydatid cyst may remain asymptomatic for many years or have minor nonspecific complaints, but it is associated with an increased risk of lethal complications if left undiagnosed and untreated. Post rupture cardiac hydatid there is disseminated echinococcosis in the body.Case presentationWe report a healthy 20-year old male, while he was working as a farmer who presented with sudden onset acute right lower limb ischemia caused by ruptured of primary hydatid cyst of the heart which managed as a surgical emergency.DiscussionPatients with a cardiac hydatid cyst usually have symptoms after its rupture. Hydatid cyst rupture into left-sided chambers may cause systemic emboli, like in our case which presented with emboli of right common iliac artery and later on the patient had cerebral hydatid. Cardiac hydatid cyst can have two extremes, either remain asymptomatic over long periods or be discovered after serious and even fatal complications.ConclusionAcute limb ischemia should be considered as an extremely a rare cause of rupture cardiac hydatid in an endemic area of echinococcosis also, this case confirms the need for the evaluation of the patient well after ruptured cardiac hydatid for other sites of emboli like brain hydrated as in our patient.
Highlights
Hydatid cyst of the heart provides very rarely because of contractions of the heart natural resistance to the presence of viable cysts
Published articles and case reports related to cardiac hydatid cyst (CHC) are limited, and many of questions remain unanswered
Our case we describe two complications of rupture CHC peripheral artery embolization, ischemic limb and later on cerebral hydatid
Summary
Hydatid cyst (HC) disease is a serious health problem in endemic areas, Humans become infested with the parasite by ingesting embryonated eggs shed in dogs and other canids’ faeces [1,2]. Embryos reach the right atrium of the heart through the thoracic duct or the inferior vena cava and pass to the right ventricle and onto the pulmonary artery [4]. They can reach the myocardium through the pulmonary vessels and coronary arteries. Hydatid cysts of the heart can cause symptoms at later stages, which will vary depending upon the location of the infestation within the heart. Published articles and case reports related to cardiac hydatid cyst (CHC) are limited, and many of questions remain unanswered. Our case we describe two complications of rupture CHC peripheral artery embolization, ischemic limb and later on cerebral hydatid. The work has been reported in line with the SCARE criteria [9]
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