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Hydatid cyst of the heart with mitral valve stenosis; Case report

Hydatid cyst of the heart is very rare, the left ventricle is the commonest site of myocardial involvement due to dominant left coronary vessels and thicker wall. Isolated cardiac involvement is extremely rare. Patients may be quite asymptomatic but the cyst may cause palpitation, dyspnea, chest pai...

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Detalles Bibliográficos
Autores principales: Bahjat, Alaa S., Sharif Tahir, Ahamd Mohammad, Mohammed, Ayad Ahmad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926137/
https://www.ncbi.nlm.nih.gov/pubmed/31890197
http://dx.doi.org/10.1016/j.amsu.2019.11.018
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author Bahjat, Alaa S.
Sharif Tahir, Ahamd Mohammad
Mohammed, Ayad Ahmad
author_facet Bahjat, Alaa S.
Sharif Tahir, Ahamd Mohammad
Mohammed, Ayad Ahmad
author_sort Bahjat, Alaa S.
collection PubMed
description Hydatid cyst of the heart is very rare, the left ventricle is the commonest site of myocardial involvement due to dominant left coronary vessels and thicker wall. Isolated cardiac involvement is extremely rare. Patients may be quite asymptomatic but the cyst may cause palpitation, dyspnea, chest pain, or when ruptured in to the cardiac or pericardial cavities may cause emergency presentations like anaphylactic reactions, sudden collapse due to pericardial tamponade or even sudden death. A middle age female presented with exertional shortness of breath for 2 years. Echocardiography showed mitral valve stenosis. Computerized tomography scan of the chest showed a big complicated hydatid cyst arising from the wall of the right ventricle. Median sternotomy was done with excision of the hydatid cyst, and repair of mitral stenosis by commissurotomy. The patient received three cycles of albendazole for three months. Surgery is the best options of treatment of cardiac hydatid disease, when the disease is affecting the pericardium complete excision may be possible, but when the myocardium is involved it may be difficult or even impossible to do complete excision, in this situation the cyst contents should be evacuated completely, preventing spillage is very mandatary to prevent recurrence. Care must be taken to avoid damage to the conductive system, the papillary muscles, the aortic and the mitral valves. Medical treatment with anthelminthic medications is used after surgery to reduce the recurrence rate.
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spelling pubmed-69261372019-12-30 Hydatid cyst of the heart with mitral valve stenosis; Case report Bahjat, Alaa S. Sharif Tahir, Ahamd Mohammad Mohammed, Ayad Ahmad Ann Med Surg (Lond) Case Report Hydatid cyst of the heart is very rare, the left ventricle is the commonest site of myocardial involvement due to dominant left coronary vessels and thicker wall. Isolated cardiac involvement is extremely rare. Patients may be quite asymptomatic but the cyst may cause palpitation, dyspnea, chest pain, or when ruptured in to the cardiac or pericardial cavities may cause emergency presentations like anaphylactic reactions, sudden collapse due to pericardial tamponade or even sudden death. A middle age female presented with exertional shortness of breath for 2 years. Echocardiography showed mitral valve stenosis. Computerized tomography scan of the chest showed a big complicated hydatid cyst arising from the wall of the right ventricle. Median sternotomy was done with excision of the hydatid cyst, and repair of mitral stenosis by commissurotomy. The patient received three cycles of albendazole for three months. Surgery is the best options of treatment of cardiac hydatid disease, when the disease is affecting the pericardium complete excision may be possible, but when the myocardium is involved it may be difficult or even impossible to do complete excision, in this situation the cyst contents should be evacuated completely, preventing spillage is very mandatary to prevent recurrence. Care must be taken to avoid damage to the conductive system, the papillary muscles, the aortic and the mitral valves. Medical treatment with anthelminthic medications is used after surgery to reduce the recurrence rate. Elsevier 2019-12-06 /pmc/articles/PMC6926137/ /pubmed/31890197 http://dx.doi.org/10.1016/j.amsu.2019.11.018 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Bahjat, Alaa S.
Sharif Tahir, Ahamd Mohammad
Mohammed, Ayad Ahmad
Hydatid cyst of the heart with mitral valve stenosis; Case report
title Hydatid cyst of the heart with mitral valve stenosis; Case report
title_full Hydatid cyst of the heart with mitral valve stenosis; Case report
title_fullStr Hydatid cyst of the heart with mitral valve stenosis; Case report
title_full_unstemmed Hydatid cyst of the heart with mitral valve stenosis; Case report
title_short Hydatid cyst of the heart with mitral valve stenosis; Case report
title_sort hydatid cyst of the heart with mitral valve stenosis; case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926137/
https://www.ncbi.nlm.nih.gov/pubmed/31890197
http://dx.doi.org/10.1016/j.amsu.2019.11.018
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