Case Of Cardiac Hydatid Cyst Research Articles

P685 Isolated Large Cardiac Hydatid Cyst in the Interventricular Septum

Abstract Hydatidosis or cystic echinococcosis is caused by infection with the metacestode stage of the tapeworm Echinococcus . Cardiac hydatid cyst is a rare disease (%0.5-%2) and its symptom is depending on the size and site of infection. The growth of hydatid cyst is usually slow and asymptomatic and just about 10% of patients with cardiac hydatid cyst are symptomatic . The left ventricle is the site of cardiac hydatid cysts in 55% to 60% of cases.Involvement of the interventricular septum is quite rarer.Surgical excision is the preferred treatment. We are reporting a patient with cardiac hydatidosis who was medically treated mass cause of refused the surgery.A 27-year-old woman presented with atypical chest pain and dyspnea. Transthoracic echocardiography revealed a large cyst in the interventricular septum. Thoracic computed tomography showed a cystic lesion in that site, and magnetic resonance imaging confirmed the presence of a 32× 34-mm mass. The patient was treated with albendazole 10 mg/kg for 6 months. After a 6-month follow-up, echocardiography revealed reduction in the size of the cyst. We consider this is the infrequent documented case of cardiac hydatid cyst which regressed with only medical treatment Abstract P685 Figure. Hydatid Cyst in the IVS

Case Report: Cardiac Hydatid Cyst

Hydatid disease is one of the most important and widespread parasitic infection that cause significant health problem in undeveloped and developing countries. There main subtypes Echinococcus granulosus, E multilocularis, and E vogeli which can cause cystic echinococcosis in humans as intermediated host. The most common organ involved is the liver (50% to 70%) and the lung (20% to 30% of cases) in humans. Cardiac involvement in hydatid disease is rare (0.5% to 2% of all cases). We are presenting the case of cardiac hydatid cyst.

Complication of Cardiac Hidatic Cyst

Hydatid pulmonary embolism is an uncommon condition. Pulmonary hypertension secondary to embolism is even rare. Cardiac hydatid cysts may stay asymptomatic for a long time until they reveal themselves with serious outcomes such as cerebral and pulmonary embolization, heart block and valvular obstruction. Pulmonary embolism is due to iatrogenic or spontaneous perforation of the cardiac hydatid cyst. Awareness of this condition and its radiological findings is important to prevent further potentially fatal complications. Herein, we report a case of cardiac hydatid cyst causing pulmonary hypertension secondary to pulmonary arterial embolism.

Inoperable isolated cardiac hydatid cyst controlled with albendazole in an older adult with dementia

Hydatid cyst, a human parasitic disease, remains a clinical problem in undeveloped and developing countries. Although liver and lungs are regular sites of infection, rarely other organs such as the heart can be involved. Herein, we report an isolated cardiac hydatid cyst in an 87-year-old man. He had a history of dementia for 5 years and no history for cardiac or pulmonary disease. He presented with exertional dyspnoea which continued up to 6 months. The diagnosis was made by echocardiography and computed tomography (CT). The patient was inoperable and was treated with albendazole 10 mg/kg for 6 months. After a 6-month follow-up, echocardiography revealed reduction in the size of the cyst. We believe this is the first documented case of cardiac hydatid cyst which regressed with only medical treatment in an older adult with dementia.

Left ventricular hydatid cyst: An unusual location of Echinococcus granulosus with multiple organ involvement

Cardiac Echinococcus is rare but usually associated with fatal complications. An unusual case of cardiac hydatid cyst with multiple organ involvement is presented in which transesophageal echocardiography provided additional information and confirmed transthoracic echocardiographic findings.