RESUMO
Cardiac hydatid cysts are rare and represent less than 2% of all hydatid cases. They can occur as part of a widespread systemic infection or as an isolated event. Cardiac hydatid cysts rarely involve the interventricular septum. Here, we present two cases of cardiac hydatid disease in which one patient had the lesion in the interventricular septum and the other in both the interventricular septum and the apex of the heart. A brief overview of the disease and the role of echocardiography, dynamic enhanced multidetector computed tomography (MDCT) and MRI imaging in establishing the diagnosis are discussed.
Assuntos
Equinococose/diagnóstico , Septo Interventricular/parasitologia , Adulto , Eletrocardiografia , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Tomografia Computadorizada por Raios X/métodosRESUMO
Cardiac echinococcosis is rare, and the most serious of all hydatid infestations. We report a case of 30-year-old female who had a hydatid cyst, myocardial infarction and severe rheumatic mitral stenosis. Following mitral valvotomy, the hydatid cyst and the left ventricular aneurysm were totally excised under cardiopulmonary bypass. The patient was discharged on the post-operative day 15 with the advice to continue albendazole for 5 years.
