Multiple hydatid cystectomy of the heart necessitating LIMA to LAD anastomosis in a young patient

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
Mustafa SirlakUmit Ozyurda

Abstract

Cardiac hydatid disease is very rare, even in endemic regions. Clinical manifestations included chest pain, anaphylactic shock, constrictive pericarditis, congestive heart failure, and arterial embolism. Surgery is the exclusive therapy, where the cysts are excised during open-heart surgery. The surgical approach therefore must be performed carefully, given the potential complications that surgery may bring. Because of the risk of potentially lethal complications, early diagnosis and definitive treatment are important. A 32-year-old male patient was admitted with chest pain, weight loss, lethargy, and dizziness. On the transesophageal echocardiography study, a cystic mass (2.5 x 3 x 4.5 cm in dimension adjacent to the left ventricular posterior wall) that was divided into two by a septum was noted. Diagnosis of hydatidosis was confirmed with serologic tests (ELISA and indirect immunofluorescence). Echinococcosis, also known as hydatid disease, is common in several regions of the world, for example, the Mediterranean countries, the Middle East, South America, and East Africa. While performing pericystectomy in the anterior left ventricular wall, we noticed that there were three cysts, contrary to the preoperative diagnosis point...Continue Reading

References

Jan 1, 1991·Archives of Disease in Childhood·R W Byard, A J Bourne
Jul 1, 1996·Pediatric Cardiology·A UysalelH Akalin
Jul 3, 1999·The Annals of Thoracic Surgery·R De PaulisL Chiariello
Jun 12, 2001·International Journal of Cardiology·C GürgünC S Cinar

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