The Case of a Cyst Hydatid Localized Within the Interatrial Septum

• Published in: Japanese Heart Journal Vol. 45; no. 4; pp. 703 - 707
• Main Authors: Karabay, Özalp, Önen, Ahmet, Yildiz, Fidan, Yilmaz, Erkan, Erdal, A. Cenk, Sanli, Aydin, Kilci, Göksel, Algin, Ibrahim, Itil, Oya, Açikel, Ünal
• Format: Journal Article
• Language: English
• Published: Japan International Heart Journal Association 2004
• Subjects: Adult; Albendazole - therapeutic use; Anticestodal Agents - therapeutic use; Brain Diseases - parasitology; Brain Diseases - surgery; Cardiac Surgical Procedures - methods; Cardiomyopathies - diagnosis; Cardiomyopathies - parasitology; Cardiomyopathies - surgery; Cardiopulmonary Bypass; Echinococcosis - complications; Echinococcosis - diagnosis; Echinococcosis - surgery; Echocardiography; Heart; Heart Septum - parasitology; Heart Septum - surgery; Humans; Hydatid cyst; Interatrial septum; Male; Neurosurgical Procedures; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 0021-4868; 1348-673X
• DOI: 10.1536/jhj.45.703

The ratio of cardiac involvement of Echinoccocus granulosus is 0.02-2% and although seen rarely, involvement of the interatrial septum has also been reported in the published literature. The present case was a 19-year-old male university student admitted to hospital with complaints of headache and dizziness. Computerized tomography of the cranium revealed a cystic mass located at the frontal region and enucleation of the cyst was performed during surgery. A cystic lesion 5 × 4 cm in size was detected within the interatrial septum on two-dimensional transthoracic echocardiography during the postoperative period and the patient was referred to our clinic. Open heart surgery was performed and a hydatid cyst that involved the interatrial septum was enucleated. The cyst wall was sutured to the interatrial septum. No complications developed during the postoperative period. The patient was discharged on the fifth day of hospitalization and medical therapy was started with albendazole.