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

• Published in: Annals of medicine and surgery (2012) Vol. 66; p. 102427
• Main Authors: Lyazidi, Selma, Abetti, Ayoub, Abdellaoui, Amal, El Adaoui, Ahmed, Habbal, Rachida, Ettaoumi, Youssef
• Format: Report
• Language: English
• Published: 01-06-2021
• ISSN: 2049-0801; 2049-0801
• DOI: 10.1016/j.amsu.2021.102427

INTRODUCTIONThe 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 PRESENTATIONWe 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 DISCUSSIONCardiac 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. CONCLUSIONCardiac HC must be always suspected in endemic countries, especially in patients with a family history of HC.