Circulation. 2006;113:e869-e870
doi: 10.1161/CIRCULATIONAHA.105.595298
(Circulation. 2006;113:e869-e870.)
© 2006 American Heart Association, Inc.
Images in Cardiovascular Medicine |
Hydatid Cyst of the Interventricular Septum
Murat Ugurlucan, MD;
Omer Ali Sayin, MD;
Benguhan Surmen, MD;
Tarhan Cinar, MD;
Ensar Yekeler, MD;
Memduh Dursun, MD;
Emin Tireli, MD;
Enver Dayioglu, MD
From the Departments of Cardiovascular Surgery (M.U., O.A.S., B.S., T.C., E.T., E.D.) and Radiology (E.Y., M.D.), Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
Correspondence to Dr Murat Ugurlucan, Bozkurt Caddesi, No: 110-112, Benli Apt., Daire: 6, 80250 Kurtulus, Istanbul, Turkey. E-mail muratugurlucan{at}yahoo.com
A 12-year-old girl was admitted with acute onset dyspnea and palpitation. Echocardiographic examination indicated cardiac tamponade, and emergent pericardial tube drainage was performed. Histopathologic examination of the pericardial materials revealed cuticula-like structures and fluid rich in histiocytic cells and eosinophiles. Postoperative control echocardiography showed cystic structures in the interventricular septum (Figure 1). Further investigation was performed with cardiac magnetic resonance imaging, and a hydatid cyst of the interventricular septum was detected (Figure 2). Parasitic infestation was solely confined to the heart and was not present in the liver, lungs, or brain. During cardiopulmonary bypass and through right ventriculotomy, the cyst was sterilized and evacuated. The wall of the cyst was partially excised (Figure 3), and the cavity was then plicated and closed.
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Figure 1. Echocardiography demonstrating the hydatid cyst. KIST indicates hydatid cyst; LV, left ventricle; RA, right atrium; and LA, left atrium.
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Figure 2. Cardiac magnetic resonance image showing a hydatid cyst that is 5.77x5.31x4.53 cm in diameter located at the interventricular septum. A, Anteroposterior view; B, lateral view.
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Figure 3. Surgical excision of the hydatid cyst from the interventricular septum through right ventriculotomy.
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Echinococcosis still remains a serious health problem in the endemic areas of the world.1 Cardiac involvement should be considered in patients with previous hydatid cyst disease2; however, primary involvement of the interventricular septum is very rare.
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Disclosures
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None.
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References
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- Losanoff JE, Richman BW, Jones JW. Cardiac hydatid cysts. Ann Thorac Surg. 2002; 73: 699–700.[Free Full Text]
- Kaplan M, Demirtas M, Cimen S, Ozler A. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg. 2001; 71: 1587–1590.[Abstract/Free Full Text]
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Disclosures
References