DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201945

A rare case of hydatid cyst of the interventricular septum

Monila Patel, Rafe Khan, Ruchir Dave, Jyoti Vora, Sneha Shah, Shreyans D. Singhvi, Preksha T. Singh

Abstract


A Hydatid disease or Echinococcosis is a zoonotic disease caused by the larvae (metacestode) of the cestode species of the genus Echinococcus. Humans are the accidental hosts of the diseases; they usually acquire it from canines; which are the definite host. It can present with systemic cyst, while cardiac manifestation of the disease is rare, due to contractile property of the heart’s muscle fiber which provide resistance. In this case report, the patient is diagnosed with hydatid cyst in the inter ventricular septum; it’s diagnosis and its successful treatment with surgery and albendazole. As, inter ventricular septum hydatid cyst occurs in only 0.5-2% cases, it’s a unique case and its successful treatment and diagnosis can help the physicians in the future to treat a similar case as this.


Keywords


Cardiac, Cyst, Hydatid, Interventricular, Septum

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References


Kern P, Bardonnet K, Renner E, Auer H, Pawlowski Z, Ammann RW et al. European Echinococcosis Registry. European echinococcosis registry: human alveolar echinococcosis, Europe, 1982-2000. Emerg Infect Dis. 2003;9(3):343-9.

Larrieu EJ, Costa MT, del Carpio M, Moguillansky S, Bianchi G, Yadon ZE. A case-control study of the risk factors for cystic echinococcosis among the children of Rio Negro province, Argentina. Ann Trop Med Parasitol. 2002;96:43-52.

Eckert J, Deplazes P . Biological, epidemiological, and clinical aspects of echinococcosis: A zoonosis of Increasing Concern. Clin Microbiol Rev. 2004;17:107-35.

Tiwary AK, Tiwary RN. Hydatid disease in Chotanagpur region of South Bihar. Indian J Surg. 1988;50:14-8.

Perez-Gomez F, Duran H, Tamames S, Perrote JL, Blanes A. Cardiac echinococcosis: clinical picture and complications. Br Heart J. 1973;35(12):1326-31.

Vestri A, Nigri A, Massi L, Reale A. Electrocardiographic picture of myocardial infarct during echinococcosis of the heart. Boll Soc Ital Cardiol. 1972;17:752-4.

Miralles A, Bracamonte L, Pavie A, Bors V, Rabago G, Gandjbakhch I et al. Cardiac echinococ- cosis surgical treatment and results. J Thorac Cardiovasc Surg. 1994;107:184-90.

Dursun M, Terzibasioglu E, Yilmaz R, Cekrezi B, Olgar S, Nisli K, et al. Cardiac hydatid disease: CT and MRI findings. AJR Am J Roentgenol 2008;190(1):226-32

Hazan E, Leblanc J, Robıllard M, Mathey J. Hydatid cyst of the right ventricle revealed by an acute complication: emergency exeresis with prosthetic replacement of the tricuspid valve. Chirurgie. 1970;96:257-60.

Charfeddine S, Mallek S, Gueldiche M, Triki F, Jmâa HB, Frikha I, et al. A huge cardiac hydatid cyst: An unusual cause of chest pain revealing multivisceral hydatidosis in a young woman. J Saudi Heart Assoc. 2015;27(4):286-91.

Madariaga I, Fuente A, Lezaun R. Cardiac echinococ- cosis and systemic embolism: report of a case. Thorac Cardiovasc Surg. 1984;32:57-9.

Di Bello R, Menendez H. Intracardiac rupture of hydatid cyst of the heart: a study based on three personal observations and 101 cases in the world literature. Circulation. 1963;27:366-74.

Di Bello R, Abo JC, Borges L. Hydatid constrictive peri- carditis: a new case and review of the literature. J Thorac Cardiovasc Surg. 1970;59:530-2.

Halliday JH, Jose AD, Nicks R. Constrictive pericarditis fol- lowing rupture of a ventricular hydatid cyst. Br Heart J. 1963;25:821.

Bayezid Ö, Öcal A, Is ̧ık Ö, Okay T, Yakut C. A case of cardiac hydatid cyst localized on the interventricular septum and caus- ing pulmonary emboli. J Cardiovasc Surg. 1991;32:324-6.

Gilsanz V, Campo C, Cue R, Estella J, Estrada RV, Perez-oteiza C, et al. Recurrent pulmonary embolism due to hydatid disease of heart: study of 3 cases, one with intermittent tricuspid valve obstruction (atrial pseudomyxoma) Br Heart J. 1977;39:553-8.

Turgut M, Benli K, Eryılmaz M. Secondary multiple intracranial hydatid cysts caused by intracerebral embolism of cardiac echinococcosis: an exceptional case of hydatidosis. J Neurosurg. 1997;86:714-8.

Malouf J, Saksouk FA, Alam S, Rizk GK, Dagher I. Hydatid cyst of the heart: diagnosis by two-dimensional echocardiography and computed tomography. Am Heart J. 1985;109:605-7.

Oliver JM, Sotillo JF, Domínguez FJ, López de Sá E, Calvo L, Salvador A, et al. Two-dimension- al echocardiographic features of echinococcosis of the heart and great vessels. Circulation. 1988;78:327-37.

Farooki ZQ, Adelman S, Green EW. Echocardiographic dif- ferentiation of a cystic and a solid tumor of the heart. Am J Cardiol. 1977;39:107-11.

Salih OK, Celik SK, Topcuoğlu MS, Kisacikoğlu B, Tokcan A. Surgical treatment of hydatid cysts of the heart: a report of 3 cases and a review of the literature. Can J Surg. 1998;41(4):321-7.