[Cardiac hydatid cysts: report of 10 cases].
Authors report 10 observations of cardiac hydatid cyst collected to cardiovascular unit of Ibn Rochd hospital in Casablanca during last 7 years. Clinical investigation included in all cases chest X ray, ECG and ultrasonography (US). A computed tomography (CT) scan was performed in 6 cases, magnetic resonance imaging in four cases, transoesophageal US in two cases. Examination for other hydatic sites was realized in all cases, and brain CT was performed in 5 cases. The hydatid cyst was variably localized in the left ventricle in 6 cases, the pericardium in 4 cases, the interventricular septum in 2 cases, the right auricle in 2 cases and multiple locations in one case. The existence of other cardiac hydatid sites was found in 7 cases. Seven patients have been operated (2 cases to closed heart). Outcome was favorable in 6 cases with a mean of three years survey. Two patients died and 2 others have been lost of view. The diagnosis of the cardiac hydatid cyst has benefits from the combination USCT scan that allowed a precise topographical inventory, reducing the need for MRI to the complicated cases and to the rare cases of inconclusive results by US-CT scan.
Service de cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
M
M
Elhattaoui
N
N
Charei
A
A
Bennis
A
A
Tahiri
N
N
Chraibi
J
J
Haddani
B A
BA
Mehadji
D000293:Adolescent; D000328:Adult; D002648:Child; D003952:Diagnostic Imaging; D004443:Echinococcosis / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006331:Heart Diseases / Q000469:parasitology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies