Surgical treatment of a giant hydatid cyst in the interventricular septum

Multimed Man Cardiothorac Surg. 2025 Jan 9:2025. doi: 10.1510/mmcts.2024.107.

Abstract

The surgical procedure detailed in this case report focuses on the treatment of a large cardiac hydatid cyst located in the intraventricular septum. The surgical intervention comprised a comprehensive approach involving a median sternotomy and cardiopulmonary bypass. A localized mass below the tricuspid valve at the basal region of the interventricular septum was revealed. The hydatid cyst was punctured, the contents were aspirated and the cyst membrane was removed. The cyst cavity was closed by plicating it with Prolene sutures and eliminating the created space. Intraoperative transoesophageal echocardiography confirmed normal cardiac function. Regular follow-ups, with a three-month course of albendazole, showed no recurrence or issues.

Keywords: Cardiac tumor; Hydatid cyst.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Albendazole / therapeutic use
  • Cardiac Surgical Procedures / methods
  • Cardiopulmonary Bypass / methods
  • Echinococcosis* / diagnosis
  • Echinococcosis* / surgery
  • Echocardiography, Transesophageal*
  • Female
  • Heart Diseases / diagnosis
  • Heart Diseases / parasitology
  • Heart Diseases / surgery
  • Humans
  • Male
  • Sternotomy / methods
  • Treatment Outcome
  • Ventricular Septum* / parasitology
  • Ventricular Septum* / surgery

Substances

  • Albendazole