Echinococcal infection can occur in nearly every part of the body. Cardiac hydatid cyst disease is rare, representing approximately 0.2% to 2% of all cyst-related cases [1]. A common symptom is precordial pain [2]. Typical findings on chest radiography are localized deformities of the cardiac silhouette with a bulge of the cardiac border. Two-dimensional echocardiography, CT and MRI are noninvasive diagnostic methods that are helpful for displaying the location and size of cysts [2]. The optimal treatment for cardiac hydatid cyst is surgical excision [1].
We report the case of a 9-year-old boy who was admitted to the hospital with complaints of lack of appetite and abdominal pain. His physical examination revealed hepatomegaly and grade 3/6 systolic murmur. Abdominal ultrasonography showed hydatid cysts in the liver. The echocardiographic examination determined the presence of a huge cardiac hydatid cyst. The cyst was localized in the interventricular septum and was 65mm by 40mm in diameter (Fig. 1). Electrocardiography showed negative T waves in lead V5 and V6. The patient was successfully treated with surgery.
Footnotes
Conflict interest statement The authors declare that they have no conflict of interest to the publication of this article.
References
- 1.Salih OK, Celik SK, Topcuoğlu MS, Kisacikoğlu B, Tokcan A. Surgical treatment of hydatid cysts of the heart: a report of 3 cases and a review of the literature. Can J Surg. 1998;41:321–7. [PMC free article] [PubMed] [Google Scholar]
- 2.Thameur H, Abdelmoula S, Chenik S, et al. Cardiopericardial hydatid cysts. World J Surg. 2001;25:58–67. doi: 10.1007/s002680020008. [DOI] [PubMed] [Google Scholar]