Key result
Direct enucleation via limited thoracotomy successfully treats recurrent cardiac hydatid cyst without cardiopulmonary bypass.
Why the study?
Hydatid cyst of the heart is an uncommon presentation of echinococcosis that may lead to life-threatening conditions and requires careful diagnosis and management.
Case Report (n=1)
May support limited thoracotomy to avoid resternotomy in recurrent cardiac hydatid cysts; hypothesis-generating, should not yet change practice.
Hydatid disease is a parasitic infection caused by the larvae of tapeworm Echinococcus Granulosus. Hydatid cyst of the heart is an uncommon presentation of human echinococcosis which may lead to life-threatening conditions. We present a rare case of recurrent pericardial cyst in a 42-year-old man presenting with chest pain and ECG findings. We were able to avoid risks of resternotomy with a limited anterolateral thoracotomy. A direct enucleation of the cyst was possible without the need for cardiopulmonary bypass. He was free of complications at 6-month follow-up. Diagnosis should be suspected in every case of anginal symptoms or cyst-like mass in persons coming from areas where echinococcus granulosus is endemic.
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Göksel et al. (2008) conducted a case report in Recurrent apical cardiac hydatid cyst (n=1). Direct enucleation via limited anterolateral thoracotomy was evaluated on Complications. Direct enucleation of a recurrent cardiac hydatid cyst via limited anterolateral thoracotomy was successfully performed without cardiopulmonary bypass, with no complications at 6 months.
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