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Ann Thorac Surg 1998;66:2111
© 1998 The Society of Thoracic Surgeons


Invited Commentary

Jorge Nin Vivó, MDa

a Ramon Scola, MD, L Ponce 1324 AP.601, Montevideo, Uruguay

Invited commentary

There are few cases reported in the international literature similar to this one [1, 2]. Hydatid cysts grow slowly. The majority of symptoms are by bulk effect and appear late. We agree with the authors that when an intracardiac cystic image is detected, especially in the endemic zones, cardiac hydatidosis must be suspected.

Echocardiography seems to be the elective method for diagnosis of a cyst because of its high sensitivity; magnetic resonance imaging can be helpful.

We think that an unidentified cyst must be punctured and aspirated. A rock crystal aspect liquid can be a guide to the hydatic etiology. In that case, after the liquid evacuation we instill a hypertonic saline solution before removal of the cysts.

References

  1. Sanjines, et al. Equinococosis cardiaca: neuestra experiencia sobre 15 casos operados. El Torax 1965;14:163.[Medline]
  2. Di Bello R., Menendez H. Echinococcosis of the heart. Montevideo: Ed. Pronto, 1983.

Related Article

Hydatid cyst of the interventricular septum in a 3.5-year-old child
Luis C. Maroto, Yolanda Carrascal, Maria J. López, Alberto Forteza, Ana Pérez, and Claudio Zavanella
Ann. Thorac. Surg. 1998 66: 2110-2111. [Abstract] [Full Text] [PDF]




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