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Clinical Medicine Insights: Case Reports

Giant Cardiac Hydatid Cyst in Children: Case Report and Review of the Literature

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Clinical Medicine Insights: Case Reports 2014:7 111-116

Case report

Published on 14 Sep 2014

DOI: 10.4137/CCRep.S15862


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Abstract

Cardiac echinococcus is a rare affliction of the heart caused by the tapeworm Echinococcus granulosus. Primary echinococcosis of the heart represents 0.5–2% of all hydatid disease cases in endemic regions. It evolves slowly, explaining its rarity in children. We report the case of a 11-year-old child affected by a giant cardiac cyst of the left ventricle (LV). The patient underwent cardiac surgery and medical treatment. A retrospective review of the current literature was realized. We found 18 cases: the mean age was 11-years old. Nine cysts were localized in the LV, four in the interventricular septum, three in the right ventricle, and two in the right atrium. All underwent surgery except six patients. Routine echocardiographic screening may be useful in endemic regions where infestation is common. Cardiac echinococcus should be diagnosed in the early and uncomplicated stages and be removed surgically even in asymptomatic patients.



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This is my first publication with Libertas Academica. The whole process from submission to publication and responses were extremely rapid. The editorial staff informed me of the progress of the submission step by step. Thank you for your great service and kindness.
Dr Kazuyuki Karasuyama (Department of Orthopaedic Surgery, Kyushu University, Fukuoka, Japan)
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