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Ann Thorac Surg 2001;71:2034-2035
© 2001 The Society of Thoracic Surgeons

Case report

Hydatid disease of the interventricular septum causing pericardial effusion

Julio G. Tejada, MDa, Jesus Saavedra, MDa, Luis Molina, MDa, Alberto Forteza, MDa, Casimiro Gomez, MDa

a Department of Cardiology and Cardiac Surgery, Doce de Octubre Hospital, Madrid, Spain

Accepted for publication April 13, 2000.

Address reprint requests to Dr Tejada, Servicio de Cardiología, Hospital Doce de Octubre, Carretera de Andalucía Km 5.400, 28041 Madrid, Spain
e-mail: juliogtejada{at}yahoo.com

Echinococcal infestation of the heart is uncommon. We report a case of a 35-year-old man with an hydatid cyst located in distal interventricular septum. Clinical presentation was chest pain and urticaria. Diagnosis was made by echocardiography and magnetic resonance imaging. Surgical resection was performed; the cyst was punctured and its content was drained, hypertonic glucose solution was instilled for sterilization, and it was removed. The patient did well and remains asymptomatic. Diagnosis and ultimate surgical treatment of this disease prevented potentially lethal complications such as cyst rupture with embolic phenomena and anaphylactic shock.




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