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Intracavitary hydatid cyst of the left ventricle in child: an emergency surgery case report.

El Malki H, Chetoui A, Fenane H, Benyoussef H, Rhissassi J, Sayah R, Laaroussi M - Pan Afr Med J (2014)

Bottom Line: In this report we describe an interesting and unique case of an 8-year-old boy with a large cardiac intracavitary hydatid cyst filling the left ventricle.Echocardiography, computerized tomography, magnetic resonance imaging and serologic test were necessary for the diagnosis.Surgery associated to medical treatment provides good results as demonstrated in this case report.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery A, Ibn Sina Hospital, Rabat, Morocco.

ABSTRACT
Hydatid cysts of the heart are very rare in child. In this report we describe an interesting and unique case of an 8-year-old boy with a large cardiac intracavitary hydatid cyst filling the left ventricle. Echocardiography, computerized tomography, magnetic resonance imaging and serologic test were necessary for the diagnosis. Once assessing the diagnosis, an emergency open heart surgery was necessary to prevent the complications. Surgery associated to medical treatment provides good results as demonstrated in this case report.

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CT Scan: a hypodense round liquid formation in the left ventricle
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Figure 0002: CT Scan: a hypodense round liquid formation in the left ventricle

Mentions: An 8-year-old boy living in rural areas was admitted to the pediatric department for lung infection for which a chest X-ray showed a cardiomegaly. An echocardiographic examination was then performed and the diagnosis of a cardiac hydatid cyst was established. After beginning a medical treatment of the pulmonary infection, the patient was referred to our clinic for the treatment of his cardiac HC. He had no angina, dyspnea, nor heart failure and had no cardiovascular disease history. The family history was unremarkable. The physical examination and ECG were unremarkable. Laboratory investigations were normal. Serology for ecchinococcus antibodies was negative. The chest X-ray revealed an increased cardiothoracic index, while the pulmonary parenchyma was normal. Transthoracic echocardiogram showed a large hypoechoic cystic mass, measuring 41 x 55 mm (area = 19 cm2) with liquid content in the left ventricle (LV) (Figure 1). This unilocular mass was located in the left ventricle lumen and attached to the interventricular septum. Left ventricular function was well preserved. A contrast-enhanced CT scan showed a low-attenuation mass in the left ventricle (Figure 2), a finding that is consistent with type I unilocular HC. Cardiac-gated magnetic resonance imaging confirmed the presence of the HC in the LV and described its relationship with cardiac chambers. On searching for other associated lesions by brain and abdominal CT: Other systemic organs were not involved.


Intracavitary hydatid cyst of the left ventricle in child: an emergency surgery case report.

El Malki H, Chetoui A, Fenane H, Benyoussef H, Rhissassi J, Sayah R, Laaroussi M - Pan Afr Med J (2014)

CT Scan: a hypodense round liquid formation in the left ventricle
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4430140&req=5

Figure 0002: CT Scan: a hypodense round liquid formation in the left ventricle
Mentions: An 8-year-old boy living in rural areas was admitted to the pediatric department for lung infection for which a chest X-ray showed a cardiomegaly. An echocardiographic examination was then performed and the diagnosis of a cardiac hydatid cyst was established. After beginning a medical treatment of the pulmonary infection, the patient was referred to our clinic for the treatment of his cardiac HC. He had no angina, dyspnea, nor heart failure and had no cardiovascular disease history. The family history was unremarkable. The physical examination and ECG were unremarkable. Laboratory investigations were normal. Serology for ecchinococcus antibodies was negative. The chest X-ray revealed an increased cardiothoracic index, while the pulmonary parenchyma was normal. Transthoracic echocardiogram showed a large hypoechoic cystic mass, measuring 41 x 55 mm (area = 19 cm2) with liquid content in the left ventricle (LV) (Figure 1). This unilocular mass was located in the left ventricle lumen and attached to the interventricular septum. Left ventricular function was well preserved. A contrast-enhanced CT scan showed a low-attenuation mass in the left ventricle (Figure 2), a finding that is consistent with type I unilocular HC. Cardiac-gated magnetic resonance imaging confirmed the presence of the HC in the LV and described its relationship with cardiac chambers. On searching for other associated lesions by brain and abdominal CT: Other systemic organs were not involved.

Bottom Line: In this report we describe an interesting and unique case of an 8-year-old boy with a large cardiac intracavitary hydatid cyst filling the left ventricle.Echocardiography, computerized tomography, magnetic resonance imaging and serologic test were necessary for the diagnosis.Surgery associated to medical treatment provides good results as demonstrated in this case report.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery A, Ibn Sina Hospital, Rabat, Morocco.

ABSTRACT
Hydatid cysts of the heart are very rare in child. In this report we describe an interesting and unique case of an 8-year-old boy with a large cardiac intracavitary hydatid cyst filling the left ventricle. Echocardiography, computerized tomography, magnetic resonance imaging and serologic test were necessary for the diagnosis. Once assessing the diagnosis, an emergency open heart surgery was necessary to prevent the complications. Surgery associated to medical treatment provides good results as demonstrated in this case report.

Show MeSH
Related in: MedlinePlus