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Case Reports
. 2010 Jul;83(1):102-3.
doi: 10.4269/ajtmh.2010.10-0026.

Cardiac hydatidosis

Mathilde Neuville  1 , Dominique Grisoli, Alexane Nicoud, Alexis Jacquier, Jean-Christophe Lagier, Frédéric Collart, Pascal Thomas, Philippe Parola
Affiliations
Case Reports

Cardiac hydatidosis

Mathilde Neuville et al. Am J Trop Med Hyg. 2010 Jul.

Abstract

We report a case of an adult who developed superior vena cava syndrome because of cardiac hydatidosis. A 37-year-old man from Morocco developed progressive dyspnoea and cough. Cardiac hydatidosis was diagnosed because of both the typical radiological findings and the positive serology for echinococcosis. The patient was treated by surgery and albendazole without complications.

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Figures

Figure 1.
Figure 1.
Cardiac MRI: a steady-state free precession single-shot image in a four-chamber view at the telediastolic phase. A shows a large multiloculated cyst impacting the right ventricular free wall, causing severe right ventricular narrowing (bold arrow in the upper left). The second multiloculated cyst on the left ventricular free wall shows extracavitary extension (arrowhead in the lower right). A third lesion was developed adjacent to the superior vena cava and the posterior section of the right atrium (arrow in the lower left). B shows the same sequence and the same view 4 months later. The three lesions show important decreases in size. The lesion developed from the right (arrow) and left ventricular wall (arrowhead) shows a pseudotumoral aspect with a small cystic aspect.
Figure 2.
Figure 2.
A shows hydatid cysts of the heart in the pericardium on the anterior wall of the right ventricle (arrow). B shows the first step for hydatid cyst resection, which is isolating it from the operative field using sponges soaked with hydrogen peroxide. After carefully opening, the empty cysts were intensively washed with hydrogen peroxide and resected.
See this image and copyright information in PMC

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