Surgical Management of Cardiopericardial Hydatid Disease: A Tunisian Center ExperienceBen Jmaa Hela1*, Bouassida Abir1, Triki Faten2, Dammak Aiman1, Hentati Abdessalem1, Ben Jmaa Tarak3, Souissi Iheb4, Masmoudi Sayda1, Elleuch Nizar1,Kammoun Samir2, Ben Jmaa Mounir3, Karoui Abdelhamid4 and Frikha Imed1
- *Corresponding Author:
- Ben Jmaa Hela
Department of Cardiovascular and Thoracic Surgery
Habib Bourguiba Hospital, Sfax 3029, Tunisia
Email: [email protected]
Received Date: November 9, 2015 Accepted Date: November 18, 2015 Published Date: November 19, 2015
Citation: Jmaa Hela B, Abir B, Faten T, Aiman D, Abdessalem H, et al. (2015) Surgical Management of Cardiopericardial Hydatid Disease: A Tunisian Center Experience. Trop Med Surg 3:200. doi:10.4172/2329-9088.1000200
Copyright: © 2015 Hela, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Introduction: Cardiac hydatid disease is a rare, but it is potentially a life-threatening pathology. It has fatal complications such as valvular dysfunction, free wall rupture, embolism, anaphylactic reactions, conduction disturbances, or congestive heart failure.
Methods: We report 12 cases of cardiopericardial hydatid disease that underwent operation in our institution between January 1998 and December 2014, and we review our results. The mean age was 31.83 years and it ranges of 11 to 65 years. Male to female ratio was 1. The diagnosis of hydatid disease was confirmed by transthoracic echocardiography in all patients. The cyst was located in the left ventricular free wall in 5 cases, the right ventricular free wall in 1 case, the interventricular septum in 3 cases, the interatrial septum in 2 cases, and the pericardium in 1 case. Three patients had multiple organ hydatidosis: in the interatrial septum and the two lungs in one case; in the left ventricle, the left lung, the liver, and the peritoneum in 1 case; and in the left ventricle, the left lung, the liver and the breasts in 1 case. All of our patients underwent surgery. The patients with cardiac cysts were operated under sternotomy and standard cardiopulmonary bypass with antegrade cardioplegia and aortic cross-clamping. The patient with pericardial hydatidosis was operated under posterolateral thoracotomy and without cardiopulmonary bypass.
Results: The postoperative period was uneventful in all our patients. We didn’t have any cardiac hydatidosis recurrence in the follow-up of our patients. Only one patient was operated two years after cardiac surgery for recurrence of pulmonary cysts.
Conclusion: Surgery should be recommended in all cases of cardiopericardial hydatid disease in order to avoid their complications.