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(a) Show laminated membrane which is typical for hydatid cyst. (b) Laminated membrane which is typical for hydatid.
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The catheter harvested a cruor thrombus with a white membrane from the common femoral artery, the histopathology of which was a hydatid tissue as it is shown in Fig. 1a and b.
(a) Chest CT scan with hydatid cyst in the left ventricle (2). (b) CT scan of chest show left ventricle hydatid (2). (c) CT scan hydatid cyst in LV with membrane disloged and rupture (2).
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After immediate subsidence of symptoms and signs, and an uneventful post-operative night, a CT scan of thorax revealed a well-defined cystic lesion of 45 mm diameter was protruding into the LV, as shown in Fig. 2a, b, and c.
Left ventricular opening.
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The LV cavity showed an inside protruding mass, Fig. 3.
(a) Cleaning of endocyst. (b) Cyst excision from left ventricle.
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The mass was incised and the cyst was removed, as shown in Fig. 4a and b).
Mopping of endocyst well inside left ventricle.
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This has been followed by mopping of endocyst, as in Fig. 5, putting stay suture of LV as in Fig. 6, and enlarging of a cystic cavity as in Fig. 7.
Putting the gelform inside the ectocyst.
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This has been followed by mopping of endocyst, as in Fig. 5, putting stay suture of LV as in Fig. 6, and enlarging of a cystic cavity as in Fig. 7.
Closing the left venticle by matress suture.
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The perforated myocardium was sutured by prolene, and the cavity closure was achieved by a standard mattress suturing with gel foam, Fig. 8.