Interventricular Septal Hydatid Cyst

Abstract

In this report we describe an unusual case of cardiac echinococcus located in the interventricular septum invaded by a cystic mass. It was demonstrated by using transthoracic echocardiography (TTE) and confirmed with magnetic resonance imaging (MRI). Surgical excision (cystopericystectomy) was performed on the patient as a curative therapy. Early recurrence was observed despite additional medical therapy with albendazole.

Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic, transesophageal, and contrast echocardiography

“…Therefore, surgery is undertaken after three to four days of therapy with albendazole or mebendazole. 3,5 With risk of rupture felt to be high in our patient, surgery was considered the treatment of choice, however, unfortunately our patient left the hospital against medical advice, and was lost to follow-up.…”

“…Areas of cardiac involvement include the left ventricle (60%), right ventricle (10%), pericardium (7%), pulmonary artery (6%), and left atrial appendage (6%), with rare involvement of the interventricular septum (4%). 3 The diagnosis of cardiac echinococcosis is difficult. Patients may experience symptoms secondary to myocardial pressure due to expansion or rupture of the cyst.…”

Three‐Dimensional Imaging of a Comma‐Shaped Right Ventricular Hydatid Cyst

“…2,4 Weinberg complement fixation, IgE to echinococcosis, and ELISA tests for echinococcosis are used to evaluate and differentiate the cardiac masses determined. When there is cardiac involvement, Echinococcal disease tends to be located in the left ventricle (LV 50%).…”

“…1 It commonly affects the liver and lungs. 4 We report herein a hydatid cyst of the right ventricle and its two-and three-dimensional echocardiographic appearance. 4 We report herein a hydatid cyst of the right ventricle and its two-and three-dimensional echocardiographic appearance.…”

Symptomatic giant cardiac cyst hydatid in an adult woman

“…It usually involves liver and lung 2. Cardiac involvement is very rare with an incidence of 0.5–2% 3. The clinical findings of CH related to the location and size of cyst.…”