Cardiac Hydatid Cyst

Abstract

Two women, aged 19 and 20 years, underwent surgery for hydatid cyst at the right side of the heart. In one patient, the cyst was located on the interventricular septum. It was removed and the defect was closed without capitonnage to avoid blockage. The cavity healed spontaneously. In the other patient, the cyst was at the right atrioventricular groove. It was removed without cardiopulmonary bypass. Both patients recovered well.

Hydatid Cyst of the Heart

“…Cardiac arrhythmias occur when the electrical bundles of the heart are mechanically affected by the cysts in the interventricular septum, whereas acute myocardial infarction may result when cysts exert pressure on the coronary arteries. [6][7][8][9][10]12,13 Pericardial effusion, pericardial tamponade, and constrictive pericarditis may result in patients with hydatid cysts located in the pericardium. [14][15][16] Another major complication arises when a hydatid cyst ruptures.…”

“…[4][5][6][7][8][9][10][11] Another available important tool of investigation is cardiac CT scan, for a better demarcation and lineation of the cyst. [4][5][6][7][8][9][10][12][13][14] Coronary and cardiac catheterizations were indicated for better anatomical demarcation, if there is suspicion of coronary artery disease or structural heart diseases not detected by previous tools of investigation prior to surgery. [4][5][6][7][8][9][10][11][12][13][14][15][16] Another useful test that might have been attempted is transesophageal echocardiography.…”

“…Furthermore, to prevent recurrence and the drawbacks of additional surgery, patients should take 400 mg of albendazole or mebendazole twice a day for 5 years, after surgery. [4][5][6][7][8][9][10][11][12][13][14][15][16] Medical treatment of hydatid cyst of the heart with these 2 drugs is recommended when surgery is contraindicated or if the patient refuses surgery. 9,12,16 The use of these medications is mentioned in the guidelines for the management of this type of infestation.…”

Hydatid cyst of the heart — A case report

“…Left ventricular involvement is Hydatid cyst of the heart commoner than right side because of the higher blood flow in the left side. 3 Hydatid heart disease is common in the 3 rd decade, onset however in the younger age group is not uncommon. 1,2 The signs and symptoms of the disease depend on the location, growth and symptoms related to rupture with only 10% being symptomatic.…”