Surgical treatment of hydatid cyst infiltrating into myocardium and causing mitral valve regurgitation

Kemal Eşref Erdoğan

doi:10.5606/tgkdc.dergisi.2019.17526

Kemal Eşref Erdoğan¹, Emrah Uğuz¹, Mete Hıdıroğlu¹, Ezgi Erkılıç², Murat Can Güney³, Erol Şener¹

¹Department of Cardiovascular Surgery, Yıldırım Beyazıt University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
²Department of Anesthesiology and Reanimation, Yıldırım Beyazıt University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
³Department of Cardiology, Yıldırım Beyazıt University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2019.17526

Hydatid cyst is a parasitic disease caused by Echinococcus granulosus. It is endemic in Asia, Africa, South America, and the Mediterranean region including Turkey. Cardiac involvement is rare. Surgery is the definitive treatment of cardiac hydatid cysts; however, to avoid recurrence after surgery, medical therapy should be also continued. Left ventricular free wall is the most common location, followed by the right ventricle and interventricular septum. Involvement of mitral valve is extremely rare. Herein, we present a case of hydatid cyst with myocardial involvement leading to severe mitral valve regurgitation which was successfully treated with surgery.

Keywords : Heart, hydatid cyst, mitral valve, myocardium

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