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DOI: 10.1055/s-2000-8343
A Cardiac Hydatid Cyst Involving the Basal Interventricular Septum Causing Biventricular Outflow Tract Obstruction
Publikationsverlauf
Publikationsdatum:
31. Dezember 2000 (online)
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We report a case of a 37-year-old sheep-raising man with a cardiac hydatid cyst involving the basal interventricular septum causing biventricular outflow obstruction. He suffered from multi-organ hydatidosis and underwent cerebral hydatid cyst extirpation and right nephrectomy for renal echinococcosis. The diagnosis of the cyst was obtained by echocardiography and magnetic resonance imaging. The diagnosis was confirmed by positive hemagglutination test. He was operated on for cardiac hydatid cyst using enucleation and capitonnage procedure under extracorporeal circulation. The morbidity was complete atrioventricular block, necessitating VDD pacemaker implantation. This was followed by medical treatment with albendazole (400 mg/day).
Key words:
Cardiac hydatid cyst - Multi-organ echinococcosis
References
- 1 Novick R J, Tchervenkov C I, Wilson J A, Munro D D, Mulder D S. Surgery for thoracic hydatid disease: a North American experience. Ann Thorac Surg. 1987; 43 681-686
- 2 Urbanyi B, Rickmann C, Hellberg K, Krakau M, Liebau G, Mayer A, Waechter E. Myocardial echinococcosis with perforation into the pericardium. J Cardiovasc Surg. 1991; 32 534-538
- 3 Parisi F, Gagliardotto P, Zattera G, Pansini S, Summa M, Orzan F, Morea M. Complicated removal of a hydatid cyst of the interventricular septum. J Cardiovasc Surg. 1995; 36 269-271
- 4 Ottino G, Villani M, Paulis R, Trucco G, Viara A. Restoration of atrioventricular conduction after surgical removal of a hydatid cyst of the interventricular septum. J Thorac Cardiovasc Surg. 1987; 93 144-147
- 5 Çetin E, Candan İ, Akalın H, Sonel A, Kervancioğlu C. Cardiac hydatid cyst simulating tricuspid stenosis. Am J Card. 1985; 56 833-834
- 6 Russo G, Tamburino C, Cuscuna S, Arcidiacono G, Foti R, Grimaldi D R, Calvi V, Giuffrida G. Cardiac hydatid cyst with clinical features resembling subaortic stenosis. Am H J 1989: 1386-1387
- 7 Beyazid Ö, Öcal A, Işık Ö, Okay T, Yakut C. A case of cardiac hydatid cyst localized on the interventricular septum and causing pulmonary emboli. J Cardiovasc Surg. 1991; 32 324-326
- 8 Dodek A, DeMots H, John A, Hodam R P. Echinococcus of the heart. Am J Card. 1972; 30 293-297
- 9 Güler M, İpek G, Oğuş T, Kırali K, Işık Ö, Yakut C. Arihni ile Seyreden Sol Ventrikül Anevrizmasını Taklit Eden Kardiyak Kist Hidatik Olgusu. Klinik Kardiyoloji Dergisi. 1996; 9 232-236
- 10 Mandke J V, Sanzgiri V P. Hydatid cyst of the interatrial and interventricular septum of the heart. J Thorac Cardiovasc Surg. 1987; 93 1020-1021
Received for Publication: March 28, 2000
Dr. Cüneyt Keleş
Koşuyolu Heart and Research Hospital
81020, İstanbul
Turkey
Telefon: +90 216 326 6969
Fax: +90 216 339 0441