Pediatric Cardiology

, Volume 29, Issue 4, pp 855–857 | Cite as

Ruptured Hydatid Cyst of the Interventricular Septum with Acute Embolic Pulmonary Artery Complications

  • Slobodan IlicEmail author
  • Vojislav Parezanovic
  • Milan Djukic
  • Afksendiyos Kalangos
Case Report


Hydatid cysts located in the interventricular septum are especially rare but with the high risk for intracavitary rupture. We report a patient with acute pulmonary embolism caused by an isolated, ruptured hydatid cyst on the right side of the interventricular septum. Early diagnosis was made by echocardiography and positive serology. Pulmonary artery embolism was confirmed by angiography and the patient was operated on. Embolectomy was performed by removing multiple fragments of ruptured endocyst from the left pulmonary artery, followed by surgical closure of a cyst cavity. Prompt diagnosis and an appropriate surgical treatment prevented a potentially fatal outcome.


Hydatid disease Rupture Pulmonary embolism 

Supplementary material

(MOV 2212 kb)

(MOV 2110 kb)


  1. 1.
    Bennis A, Darif A, Mehadji BE, Chraibi N (2000) Cardiac hydatid cyst revealed by complete heart block. Heart Vessels 15(1):46–48PubMedCrossRefGoogle Scholar
  2. 2.
    Chadly A, Krimi S, Mghirbi T (2004) Cardiac hydatid cyst rupture as cause of death. Am J Forensic Med Pathol 25:262–264PubMedCrossRefGoogle Scholar
  3. 3.
    Charet E, Roudaut R, Lafitte S, Laffort P, Madonna F, de Mascarel A (2000) Echocardiographic demonstration of rupture of intraseptal hydatid cyst. J Am Soc Echocardiogr 13:956–958Google Scholar
  4. 4.
    Lahdhili H, Hachicha S, Ziadi M, Thameur H (2002) Acute pulmonary embolism due to the rupture of a right ventricle hydatic cyst. Eur J Cardiothorac Surg 22:462–464PubMedCrossRefGoogle Scholar
  5. 5.
    Maroto LC, Carrascal Y, López MJ, Forteza A, Pérez A, Zavanella C (1998) Hydatid cyst of the interventricular septum in a 3.5-year-old child. Ann Thorac Surg 66:2110–2111PubMedCrossRefGoogle Scholar
  6. 6.
    McManus DP, Zhang W, Li J, Bartley PB (2003) Echinococcosis. Lancet 362:1295–1304PubMedCrossRefGoogle Scholar
  7. 7.
    Nisanoglu V, Erdil N, Isik B, Battaloglu B, Alat I (2004) Acute abdominal aorta embolism caused by rupture of a cardiac hydatid cyst. Ann Vasc Surg 18:484–486PubMedCrossRefGoogle Scholar
  8. 8.
    Onursal E, Elmaci TT, Tireli E, Dindar A, Atilgan D, Ozcan M (2001) Surgical treatment of cardiac echinococcosis: report of eight cases. Surg Today 31(4):325–330PubMedCrossRefGoogle Scholar
  9. 9.
    Sielaff TD, Taylor B, Langer B (2001) Recurrence of hydatid disease. World J Surg 25(1):83–86PubMedCrossRefGoogle Scholar
  10. 10.
    Yaliniz H, Tokcan A, Salih OK, Ulus T (2006) Surgical treatment of cardiac hydatid disease: a report of 7 cases. Tex Heart Inst J 33(3):333–339PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Slobodan Ilic
    • 1
    Email author
  • Vojislav Parezanovic
    • 2
  • Milan Djukic
    • 2
  • Afksendiyos Kalangos
    • 3
  1. 1.Department of Cardiothoracic SurgeryUniversity Children’s HospitalBelgradeSerbia and Montenegro
  2. 2.Department of CardiologyUniversity Children’s HospitalBelgradeSerbia and Montenegro
  3. 3.Department of Cardiovascular SurgeryUniversity Hospital of GenevaGenevaSwitzerland

Personalised recommendations