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Case Reports
. 2021 May 25:66:102427.
doi: 10.1016/j.amsu.2021.102427. eCollection 2021 Jun.

Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation

Selma Lyazidi  1 , Ayoub Abetti  1   2 , Amal Abdellaoui  1 , Ahmed El Adaoui  1 , Rachida Habbal  3 , Youssef Ettaoumi  1
Affiliations
Case Reports

Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation

Selma Lyazidi et al. Ann Med Surg (Lond). .

Abstract

Introduction: The hydatid cyst (HC) of the right ventricle (RV) is an extremely uncommon and a serious location that can cause sudden death following pulmonary embolism, obstruction of the valvular orifice or anaphylactic shock.

Case presentation: We report a case of a 14 years-old girl with a HC of the RV. Surgical excision of the HC under Cardiopulmonary bypass (CPB) was successful in managing this rare case.

Clinical discussion: Cardiac HC is extremely rare. It represents only 0.5-2% of all hydatid cases. However, RV location is very severe. It has a tendency to rupture intracavitarily and causes sudden death in 30% of cases. Its diagnosis is based on echocardiography, computed tomography scan and magnetic resonance imaging. The surgical treatment under CPB with anthelmintic therapy seems to improve the prognostic outcomes.

Conclusion: Cardiac HC must be always suspected in endemic countries, especially in patients with a family history of HC.

Keywords: Case report; Heart; Hydatid cyst; Right ventricle; SCARE guidelines.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Fig. 1
Fig. 1
Imaging of the hydatid cyst. (A): Echocardiography image of the four chamber cardiac view showing cystic mass attached to the right ventricular apex protruding into the lumen. (B): Thoracic CT scan showing the hydatid cyst located in the right ventricular apex.
Fig. 2
Fig. 2
Perioperative view showing cardiac hydatid cyst on the muscle of the apex of the right ventricle wall.
Fig. 3
Fig. 3
Perioperative view showing removal of the germinative membrane through the right ventricle.
See this image and copyright information in PMC

References

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