AI Article Synopsis
- Hydatid cysts in the heart are uncommon, accounting for about 3% of echinococcosis cases in humans.
- A 21-year-old woman with a third degree AV block was found to have a 2.5 cm cystic mass in her heart, confirmed by echocardiography and serological tests for Echinococcus.
- Surgical intervention was performed to remove the cyst, including sterilization of the cystic cavity, and a pacemaker was implanted before her discharge to prevent serious complications like cyst rupture and anaphylactic shock.
Article Abstract
Hydatid cyst in the heart is rare, occurring in about 3% of human echinococcosis. A 21-year-old woman was admitted to hospital with a third degree atrioventricular block. Echocardiography showed a cystic mass with a diameter of 2.5 cm within the interventricular septum. Serologic testing for Echinococcus was clearly positive, and hence cardiac surgery was planned. Sterilization of the cystic cavity was achieved by injecting formaldehyde solution in the cavity before cystectomy. Definitive pacemaker implantation was necessary before discharge. Cardiac hydatid cysts constitute an indication for surgery which is necessary to prevent potentially lethal complications such as cystic rupture with embolic phenomena and anaphylactic shock.
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