Perioperative Evaluation of Heart Echinococcus Cyst in a 14-Year-Old Child

Saimir Kuci; Alfred Ibrahimi; Shaban Memeti; Stavri Llazo; Ervin Bejko; Klodian Krakulli; Edvin Prifti

doi:10.3889/oamjms.2021.5533

Authors

Saimir Kuci Department of Cardiac Anesthesia, Mother Teresa University Hospital Center, Tirana, Albania
Alfred Ibrahimi Department of Cardiac Anesthesia, Mother Teresa University Hospital Center, Tirana, Albania
Shaban Memeti University Clinic of Paediatric Surgery, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia
Stavri Llazo Department of Cardiac Anesthesia, Mother Teresa University Hospital Center, Tirana, Albania
Ervin Bejko Department of Cardiac Anesthesia, Mother Teresa University Hospital Center, Tirana, Albania
Klodian Krakulli Department of Cardiac Surgery, Mother Teresa University Hospital Center, Tirana, Albania
Edvin Prifti Department of Cardiac Surgery, Mother Teresa University Hospital Center, Tirana, Albania

DOI:

https://doi.org/10.3889/oamjms.2021.5533

Keywords:

Echinococcosis, Intramyocardial hydatid cyst, Left ventricle (LV), Albendazole, Cyst cavity

Abstract

BACKGROUND: Echinococcosis of the heart has a rate 0.02–2% of all hydatid diseases. Clinical presentation is depending of the location of hydatid cyst in the heart. Patients can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, pulmonary edema, cardiac tamponade, cardiac failure, shock, and even death.

CASE REPORT: We present a case report, a 14-year-old child with 2 weeks of sore throat, whooping cough, subfebrile condition, sweating, fatigue and physical weakness, nausea, abdominal pain, and decreased appetite. He came to emergency room with cardiogenic shock and pulmonary edema. He was diagnosed with intramyocardial hydatid cyst.

CONCLUSION: Echinococcus cyst lesion in the LV in lateral wall, not communicating with the LV cavity, has been removed successfully with on-pump technique in a 14-year-oldchild. Median sternotomy was preferred and cardiopulmonary bypass has been considered the safest method. Supplemental medical therapy with albendazole is recommended to reduce the risk of recurrence.

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