Eur J Cardiothorac Surg 2002;21:87
© 2002 Elsevier Science NL
Images in cardio-thoracic surgery |
Echinococcus cyst of the left ventricle in 10-year-old patient
V.M. Beshlyagaa,
V.B. Demyanchukb*,
M.D. Glagolab,
V.V. Lazorishinetsb
a Department of Echocardiography of the Institute of Cardio-vascular surgery, Uzviz Protasiv Yar, 11, 03680 Kyiv, Ukraine
b Department of Cardiac Surgery of the Institute of Cardio-vascular surgery, Uzviz Protasiv Yar, 11, 03680 Kyiv, Ukraine
Received 8 August 2001;
received in revised form 29 October 2001;
accepted 30 October 2001.
* Corresponding author. Tel./fax: +38-44-277-4233; fax: +38-44-277-4100/6422
e-mail: v_tall_e{at}hotmail.com
Key Words: Transthoracic echocardiography • Cardiac echinococcus cyst
A 10-year-old boy was presented with fever and chest pain. Transthoracic echocardiography revealed an echinococcus cyst in the left ventricle (Fig. 1). Removal of the cyst was performed through a median sternotomy. Standard technique of cardiopulmonary bypass (CPB) with mild hypothermia (32°C) was used. The pericardial sac was opened. After the heart was emptying by CPB, revision was made. The ‘top’ of the cyst was situated near to the surface of the left ventricle epicardium. The cyst and vesiculae proligens were removed by enucleation in beating heart. Cystic cavity was cleansed by washing with formic acid solution. Capitonage was not performed for this patient. After 8 months follow-up, he is asymptomatic with no signs of recurrences.
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Fig. 1. Two-dimensional echocardiogram demonstrating hydatid cyst (white arrows) into the left ventricle wall. (LV=left ventricle, RV=right ventricle, LA=left atrium, RA=right atrium.)
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