A cardiac hydatid cyst; four years of postoperative follow up

Authors

  • Navin Chandra Gautam Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu.
  • Rheecha Joshi Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.
  • Marisha Aryal Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.
  • Rupak Pradhan Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.
  • Rabindra Bhakta Timala Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.

DOI:

https://doi.org/10.3126/njh.v19i1.45311

Keywords:

Hydatid cyst, Cardiac involvement, Right ventricle

Abstract

Hydatid disease is a parasitic disease that mainly involves liver and lung tissues. Isolated cardiac involvement is very rare. We report a 40-year-old woman who presented in our emergency department for non-specific chest pain. She had no prior history of a hydatid disease Her transthoracic echocardiography illustrated a cystic mass in the right ventricular apex. Her contrast-enhanced computed tomographic scan of the chest showed a complex cystic lesion in the right ventricular wall at region of apex with enhancing thin wall and internal septations. Her immunological IgG test was positive for Echinococcosis. No other hydatid cysts were seen in the other organs such as liver and lungs by ultrasound scan of abdomen and computer tomography scan of chest respectively. After a week course of Albendazole, 400mg twice a day, she underwent cystectomy with cappitonage surgery under cardiopulmonary bypass.  The patient was discharged from the hospital after an uneventful postoperative recovery. Echocardiographic and cardiac contrast enhanced computer tomography (CECT) evaluation in fourth year of follow-up revealed no evidence of recurrence of hydatids and ventricular function remained normal. 

Downloads

Download data is not yet available.
Abstract
148
PDF
395

Downloads

Published

2022-05-29

How to Cite

Gautam, N. C. ., Joshi, R., Aryal, M. ., Pradhan, R. ., & Timala, R. B. . (2022). A cardiac hydatid cyst; four years of postoperative follow up . Nepalese Heart Journal, 19(1), 75–78. https://doi.org/10.3126/njh.v19i1.45311

Issue

Section

Case Reports