A case of multivesicular cardiac hydatid cyst with cerebral involvement

Mustafa Göz; Ömer Çakır; Nihal Kılınç; Mehmet Nesimi Eren

Mustafa Göz¹, Ömer Çakır¹, Nihal Kılınç², Mehmet Nesimi Eren¹

¹Departments of Cardiovascular Surgery, Medical Faculty of Dicle University, Diyarbakır
²Departments of Pathology, Medical Faculty of Dicle University, Diyarbakır

Cardiac hydatid cyst is rarely encountered. A 24-year-old man was admitted with right hemiparesis. Cranial magnetic resonance imaging showed well-defined, spherical, hypodense cystic lesions in the left parietal, occipital, frontal, cerebellar, and ventricular regions. Echocardiography revealed a 3.6 x 3.0-mm cystic lesion in the left ventricle and mild-moderate mitral regurgitation. The patient had a two-year history of surgery for a cerebral hydatid cyst, at which time cardiac examination had not been performed. First, the cerebral hydatid cyst was removed, and, 15 days later, cardiac surgery with a left atriotomy was performed to remove the cyst and its contents. The patient recovered without complications and was discharged with albendazole prophylaxis. Histopathologic examination confirmed the hydatid cyst. Echocardiography performed 15 months after surgery showed no recurrences.

Keywords : Echinococcosis/diagnosis/surgery; echocardiography; heart diseases/parasitology.

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