Complete Atrioventricular Block due to a Hydatid Cyst Located in the Interventricular Septum: A Case Report
DOI:
https://doi.org/10.1532/HSF98.20061126Abstract
We report a case of complete atrioventricular block and tricuspid valve insufficiency due to a cardiac hydatid cyst located in the interventricular septum that occurred in a 19-year-old male patient. Surgery was carried out with the help of cardiopulmonary bypass. The cyst was excised, and the interventricular septum was closed with an autologous pericardial patch treated with glutaraldehyde. The tricuspid valve insufficiency was repaired with annuloplasty. A dual-chamber epicardial pacemaker was implanted. The postoperative course was uneventful, and the patient was doing well 6 months after discharge.
This is the first report of a cardiac hydatidosis case for which the repair of the interventicular septum, tricuspid annulopasty, and permanent pacemaker implantation were performed during the same operation.
References
Birincioglu CL, Bardakci H, Kucuker SA, et al. 1999. A clinical dilemma: cardiac and pericardiac echinococcosis. Ann Thorac Surg 68:1290-4.nForce L, Torres JM, Carrillo A, Busca J. 1992. Evaluation of eight serological tests in the diagnosis of human echinococcosis and follow-up. Clin Infect Dis 15:473-80.nKeles C, Sismanoglu M, Bozbuga N, et al. 2000. A cardiac hydatid cyst involving the basal interventricular septum causing biventricular outflow tract obstruction. J Thorac Cardiovasc Surg 48:377-9.nKurtoglu N, Ermeydan C, Akdemir R, Basaran Y, Dindar I. 2000. Interventricular septal hydatid cyst. Echocardiography 17:693-5.nMaffeis GR, Petrucci O, Carandina R, et al. 2000. Cardiac echinococcosis. Circulation 101:1352-4.nMecozzi G, Verunelli F, Mariani AM, Zucchelli G, Grandjean JG. 2003. Interventricular hydatid cyst with atrioventricular block: a case report. Ital Heart J 4:347-9.nOttino G, Villani M, De Paulis R, Trucco G, Viara A. 1987. Restoration of atrioventricular conduction after surgical removal of a hydatid cyst of the interventricular septum. J Thorac Cardiovasc Surg 93:144-7.nTajeda JG, Saavedra J, Molina L, Forteza A, Gomez C. 2001. Hydatid disease of the interventricular septum causing pericardial effusion. Ann Thorac Surg 71:2034-6.nThameur H, Abdelmoula S, Chenik S, et al. 2001. Cardiopericardial hydatid cysts. World J Surg 25:58-67.nYilmaz M, Özkan T, Senkaya I, Önol H, Özkan H. 1995. The removal of a cardiac hydatid cyst without extracorporeal circulation. Gazi Med J 6:173-6.n
