Hydatid Cyst of the Heart: Six Clinical Cases
Keywords:
hydatid cyst, heart, bypass, surgery.Abstract
Hydatidosis is a cosmopolitan disease due to Echinococcus granulosus. The hydatid cyst of the heart (HCH) occurs in 0.5 to 2% of all hydatid locations. We report of six cases of HCH surgery under cardiopulmonary bypass, done in cardiovascular surgery department at Hassan II university teaching hospital in Fez, Morocco to analyze their diagnostic and therapeutic aspects. This is a retrospective study done, from January 2012 to April 2015. Six cases of hydatid cyst of the heart were collected among 760 cardiac surgery patients, with a frequency of 0.8%. The average age was 29 years, a sex ratio of 1.5 in favour of women. The hydatid cysts (HC) were in the wall and the inter septum of the right atrium in 2 cases and in the wall of the left ventricle in 4 cases. The association with other locations were noted with three patients with lung HC, one patient with liver HC, and the other one with a brain and peritoneal location.
Cardiac hydatid disease is mainly characterized by its clinical polymorphism, latency and severity of complications that are often indicative of the condition and can immediately be life-threatening. Advances in medical imaging has significantly contributed to improving its diagnosis, and echocardiography is one of the key tests for specifying the location. The CT scan, MRI contribute to the staging the disease. Hydatid serology is an important test and is necessary both for diagnostic purposes and for monitoring. Curative treatment of HCH is primarily surgical, which must be done as soon as the diagnosis is made and before the complications occur.
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