Abstract
Cardiac hydatid disease is rare, occurring in about 2 % of the patients, the disease usually involves the myocardium and is associated with a wide spectrum of presentations, hence the patients may be asymptomatic or may present with a serious condition like severe valvular dysfunction, congestive heart failure, pulmonary embolism or conductive disturbances. Full histories, a proper examination of the chest, ECG, CXR, Echocardiography, cardiac catheterization, CT scan of the chest and immunoblot tests are essential diagnostic tools. Fifteen patients diagnosed preoperatively as having cardiac hydatid cysts were involved in this retrospective study. There was neither sex predilection nor any age limit for the disease. Any part of the heart could be involved, but the Left ventricle was the commonest site. Many patients included in the study were associated with extracardiac involvement especially the liver. Removal of the cyst(s) surgically stays the treatment of choice.
Highlights
Cardiac hydatid disease is rare, occurring in about 2% of cases
Life Cycle of the parasite and Pathological course: Hydatid disease is caused by the cestode tapeworm granulosus and tapeworm multilocularis
Patients and methods: A retrospective study of fifteen patients diagnosed preoperatively as having cardiac hydatid cysts was conducted in Ibn Al-Bitar Hospital for Cardiac Surgery between November 2004 and June 2016
Summary
Cardiac hydatid disease is rare, occurring in about 2% of cases. When it occure, the cysts are usually intramyocardium of the left ventricle. The right ventricle or atrium may be involved[1]. Cardiac hydatid disease may cause valvular dysfunction, conductive disturbances, congestive heart failure and it may cause a potentially fatal pathology[2]. 2. Life Cycle of the parasite and Pathological course. Hydatid disease is caused by the cestode tapeworm granulosus and tapeworm multilocularis. The life cycle involves primary and the intermediate class hosts [3]. Within the abdomen the eggs hatch and the embryos cross the internal organ mucous membrane, enter the blood vessels and bodily fluid system[4]. Liver and lungs along filter the bulk (approximately 85%-90%) of the embryos
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