Recurrent apical cardiac hydatid cyst presenting with angina.
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.
Göksel
O S
OS
Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. onurgokseljet@gmail.com
Tanju
S
S
Surmen
B
B
El
H
H
Tireli
E
E
Dayioğlu
E
E
D000328:Adult; D000787:Angina Pectoris / Q000469:parasitology*; D004443:Echinococcosis / Q000175:diagnosis* / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis* / Q000469:parasitology* / Q000601:surgery; D006352:Heart Ventricles / Q000469:parasitology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012008:Recurrence