Case presentation:
A nine-year-old girl from northern province in Syria, presented to our
hospital with recent developing exertional dyspnea. In her past medical
history, she had undergone surgical resection of liver hydatid cysts
four years ago. TTE showed a 50 × 55 mm heterogeneous cystic mass
localized in the free wall of the right ventricle outlet (figure 1).
Routine laboratory tests were normal. Depending on TTE findings, the
patient’s demographic origin, and her surgical history, the diagnosis of
right ventricle hydatid cyst was established. After a 5-day oral
Albendazole course, surgery was performed through median sternotomy, and
cardiopulmonary bypass (CPB) was prepared. The cyst was apparent within
the wall of the right ventricle outlet (figure 2). The operating field
was isolated by medical gauze saturated with hypertonic saline solution.
Without arresting the heart, a small incision on right ventricular
outlet was carried out. The contents of the cyst were aspirated, and the
cyst cavity was injected with 30% saline solution. Then the cyst was
dissected and enucleated (Figure 3). The patient recovered without
complications, and was discharged home six days later on albendazole for
12 weeks.