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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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Related in: MedlinePlus

Surgical view after cardiac arrest and cardiac incisions showing the white mass (hydatid cyst) through the mitral valve
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Figure 0003: Surgical view after cardiac arrest and cardiac incisions showing the white mass (hydatid cyst) through the mitral valve

Mentions: The inherent risks of such a large primitive intracavitary cardiac hydatid cyst are rupture, embolism, anaphylaxis, ventricular dysfunction or heart failure. Performing a curative surgery in emergency is the only way to prevent all these complications. The child underwent, through a median sternotomy, an open heart surgery using routine cardiopulmonary bypass between the ascending aorta and the two laced vena cava veins (aortic and pulmonary artery cross clamping). After right atriotomy and through the atrial septum and the mitral valve, a 5 cm white mass was found on the left midventricular part of the muscular interventricular septum (Figure 3). Protection was done with pieces of gauze soaked with hypertonic saline. Polyvinylpyrolidone iodine solution was injected into cysts to inactivate the scolexes. To prevent contamination of the surrounding area, cyst fluid was aspirated through a needle puncture and then cyst was carefully opened. The germinative membrane and daughter cysts were removed as a whole (Figure 4). The residual cavity layered by fibrous wall was cleansed by wiping with polyvinylpyrrolidone solution and was not closed to avoid conduction disturbances and complete atrioventricular block. Histopathologic examination of surgical specimen (Figure 5) confirmed the diagnosis of hydatid cyst.


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)

Surgical view after cardiac arrest and cardiac incisions showing the white mass (hydatid cyst) through the mitral valve
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Surgical view after cardiac arrest and cardiac incisions showing the white mass (hydatid cyst) through the mitral valve
Mentions: The inherent risks of such a large primitive intracavitary cardiac hydatid cyst are rupture, embolism, anaphylaxis, ventricular dysfunction or heart failure. Performing a curative surgery in emergency is the only way to prevent all these complications. The child underwent, through a median sternotomy, an open heart surgery using routine cardiopulmonary bypass between the ascending aorta and the two laced vena cava veins (aortic and pulmonary artery cross clamping). After right atriotomy and through the atrial septum and the mitral valve, a 5 cm white mass was found on the left midventricular part of the muscular interventricular septum (Figure 3). Protection was done with pieces of gauze soaked with hypertonic saline. Polyvinylpyrolidone iodine solution was injected into cysts to inactivate the scolexes. To prevent contamination of the surrounding area, cyst fluid was aspirated through a needle puncture and then cyst was carefully opened. The germinative membrane and daughter cysts were removed as a whole (Figure 4). The residual cavity layered by fibrous wall was cleansed by wiping with polyvinylpyrrolidone solution and was not closed to avoid conduction disturbances and complete atrioventricular block. Histopathologic examination of surgical specimen (Figure 5) confirmed the diagnosis of hydatid cyst.

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