Giant hydatid cyst in the interventricular septum of a pregnant woman.
A 25-year-old woman, pregnant for 38 weeks, was admitted to our clinic with dyspnea. Transthoracic echocardiography revealed a large cyst that originated from the left side of the interventricular septum, decreasing left ventricular volume and almost entirely obstructing the left ventricular outflow tract. Cardiac magnetic resonance imaging confirmed a grade 1 hydatid cyst, which measured 61 x 59 x 66 mm. The cyst was excised after cesarean section. Extirpation required the creation of a small septal defect, which we closed without a patch, by suturing the septum directly to the left ventricular wall. The patient was discharged without symptoms. The case reported here is of particular interest not only because a hydatid cyst is rarely seen in the interventricular septum, but because a giant hydatid cyst obstructing the left ventricular outflow tract is very rare in pregnancy.
Tetik
Omer
O
Department of Cardiovascular Surgery, Ataturk Education and Research Hospital, Yesilyurt, Izmir, Turkey.
Yilik
Levent
L
Emrecan
Bilgin
B
Ozbek
Cengiz
C
Gurbuz
Ali
A
D000328:Adult; D009202:Cardiomyopathies / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006346:Heart Septum / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D015597:Pregnancy Complications, Parasitic / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery