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Abstract
Cardiac hydatid cysts are a rare presentation of hydatid cyst disease in the body, with a reported cardiac involvement rate of <2%. The left ventricle is the most common site of cardiac involvement. Here, we report a patient with a hydatid cyst that ruptured into the pericardium after producing an aneurysm on the right ventricular free wall, appearing as fibrinated fluid and a solid mass lesion in the pericardium. Our aim in this case report was to emphasise that the possibility of a hydatid cyst should not be overlooked in the differential diagnosis of pericardial tumours.
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Bouassida I, Pricopi C, Mangiameli G, Arame A, Auliac JB, Gorbatai B, Riquet M, Le Pimpec Barthes F. [Cardiac compression of hydatid origin]. REVUE DE PNEUMOLOGIE CLINIQUE 2018; 74:248-252. [PMID: 29779892 DOI: 10.1016/j.pneumo.2018.03.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 03/26/2018] [Accepted: 03/30/2018] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Cardiac hydatid disease is uncommon and occurs in 0.5 to 2% of patients with hydatidosis. Isolated intrapericardial hydatid cystic disease is extremely rare. OBSERVATION We report the case of a young woman with cardiac compression due to multiple primary intrapericardial hydatid cysts. Since 1 year, she had gradual general health deterioration including dyspnoea, sweats and weight loss of 8kg. A widening of the mediastinum was observed on chest X-ray. The CT-scan, echocardiography and the dynamic IRM showed multiple mediastinal cysts with mass effect on the heart and main pulmonary artery. The size of the main pulmonary artery was reduced to 5 mm in diameter and the right upper pulmonary vein was nearly closed by posterior cysts. The right and left ventricular ejection fractions were estimated at about 34%. A complete resection of the cysts was performed by sternotomy. The surgical procedure was technically difficult because of major local inflammatory process. The postoperative outcome after an initial pulmonary embolism event was finally favourable. CONCLUSION Hydatidosis can lead to severe cardiac involvement. These rare forms of hydatid cystic disease must be known even in non endemic regions by surgeons because of increasing mobility of the world's population.
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Affiliation(s)
- I Bouassida
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - C Pricopi
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
| | - G Mangiameli
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - A Arame
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - J B Auliac
- Service de pneumologie, centre hospitalier François-Quesnay, 2, boulevard Sully, 78200 Mantes-La-Jolie, France
| | - B Gorbatai
- Service de pneumologie, centre hospitalier François-Quesnay, 2, boulevard Sully, 78200 Mantes-La-Jolie, France
| | - M Riquet
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - F Le Pimpec Barthes
- Service de chirurgie thoracique, université Paris-Descartes, hôpital Européen-Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
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Tanyeli O, Dereli Y, Mercan I, Gormus N, Yuksek T. New World's old disease: cardiac hydatid disease and surgical principles. Cardiovasc J Afr 2017; 28:304-308. [PMID: 28218769 PMCID: PMC5756909 DOI: 10.5830/cvja-2017-006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Accepted: 01/12/2017] [Indexed: 01/19/2023] Open
Abstract
Background: Hydatid cyst is a parasitic disease caused by infection with the Echinococcus granulosus tapeworm larva. It is a major public health problem in endemic regions. Cardiac involvement of the disease is rare. Methods: Between 1985 and 2015, 12 patients were admitted to our clinic with a possible diagnosis of cardiac hydatid disease. Of these patients, six (50%) were male and six (50%) were female. Mean age of the patients was 42.6 years. Results: The most common location of cardiac hydatid disease was left sided (six patients, 50%). Five (41.7%) patients had cysts located in the right heart, whereas one (8.3%) had a cyst in the interventricular septum. Eleven (91.7%) of the patients were operated on via median sternotomy and the remaining one was operated on via a left anterolateral thoracotomy. Ten (83.3%) of the patients were operated on using cardiopulmonary bypass under moderate hypothermia, whereas the remaining two (16.7%) had off-pump surgery. There was no surgical mortality in our series. All patients were discharged with medical therapy (mebendazole or albendazole) for the duration of six months. No recurrences were observed in their follow ups. Conclusion: Although cardiac hydatid disease is rare, its prevalence seems to have increased in the last decade. Any patient with suspected cardiac symptoms suggesting mass lesions should be considered for a differential diagnosis of cardiac hydatid disease, especially in developing countries. Definitive treatment is removal of the cyst, combined with medical therapy.
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Affiliation(s)
- Omer Tanyeli
- Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey.
| | - Yuksel Dereli
- Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey
| | - Ilker Mercan
- Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey
| | - Niyazi Gormus
- Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey
| | - Tahir Yuksek
- Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, Konya, Turkey
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Singh A, Sharma R, Garg A, Nanda NC, Elsayed M, Taher A, Bulur S. Usefulness of bubble study in echocardiographic diagnosis of contained rupture of hydatid cyst in the right ventricular outflow tract. Echocardiography 2016; 33:1402-8. [PMID: 27650224 DOI: 10.1111/echo.13317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
We describe an adult female presenting with dyspnea in whom both transthoracic and transesophageal echocardiography detected a mobile sac-like structure in the right ventricular outflow tract (RVOT) containing a heterogenous echogenic mass. This sac-like structure markedly changed its shape and size during the cardiac cycle. These findings and the fact that the patient lived in a rural area raised the possibility that this was a hydatid cyst. A bubble study using normal saline was useful in detecting a contained rupture of the cyst. Bubble echoes were noted within the sac-like structure but did not penetrate the inner wall of the cyst which contained echogenic material, indicating that the rupture was confined only to the outer layers. At surgery, a 0.5 cm communication was noted between the cyst and the RVOT and pathology confirmed the diagnosis of hydatid cyst.
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Affiliation(s)
- Amitoj Singh
- Department of Cardiology, St. Luke's University Health Network, Bethlehem, Pennsylvania
| | - Ravindra Sharma
- Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India
| | - Ashok Garg
- Jaipur Heart Institute, Jaipur, Rajasthan, India
| | - Navin C Nanda
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama.
| | - Mahmoud Elsayed
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
| | - Ahmed Taher
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
| | - Serkan Bulur
- Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
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Butler TC, Wall D, Hamilton-Craig C. 'A ring in the heart'. Blood cyst. Heart 2015; 101:1953. [PMID: 26250711 DOI: 10.1136/heartjnl-2015-307738] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Accepted: 07/14/2015] [Indexed: 11/04/2022] Open
Affiliation(s)
- Thomas C Butler
- Cardiology Department, The Prince Charles Hospital, Brisbane, Queensland, Australia
| | - Douglas Wall
- Department of Cardiac Surgery, The Prince Charles Hospital, Brisbane, Queensland, Australia
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Rare reason for pulmonary embolism: one case of pulmonary hydatid cyst and review of the literature. J Thromb Thrombolysis 2014; 40:126-9. [DOI: 10.1007/s11239-014-1147-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Rexiati M, Mutalifu A, Azhati B, Wang W, Yang H, Sheyhedin I, Wang Y. Diagnosis and surgical treatment of renal hydatid disease: a retrospective analysis of 30 cases. PLoS One 2014; 9:e96602. [PMID: 24796329 PMCID: PMC4010549 DOI: 10.1371/journal.pone.0096602] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 04/09/2014] [Indexed: 12/28/2022] Open
Abstract
Echinococcosis (CE) is an infection which is caused by the larval stage of a tapeworm and is endemic in stockbreeding regions of developing countries. The kidney is the most commonly affected organ in the urinary tract. However, reports on renal hydatid disease are limited in the literature, and usually there are no specific clinical characteristics and promising operative methods. The purpose of this study is to assess the most appropriate surgical technique for the patient with urinary tract CE. We retrospectively analyzed thirty patients with renal hydatid cysts who received different surgical treatments in the urology department of the First Affiliated Hospital of Xinjiang Medical University from February 1985 to April 2010. Twenty patients were males and ten were females. The diagnostic accuracy was 74%, 87.5%, and 66.6% respectively by using of ultrasound, CT, and laboratory tests. Thirty patients were followed up for 1–15 years after surgery. One patient experienced a recurrence of renal CE. The ultrasound, CT, and immunological tests are an important means of diagnosis. The surgical treatment principle of renal hydatid should be based on residual renal function, hydatid cyst size, number, location, and surgical techniques to determine the surgical plan to retain the renal function.
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Affiliation(s)
- Mulati Rexiati
- Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China
| | - Abudurezhake Mutalifu
- Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China
| | - Baihetiya Azhati
- Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China
| | - Wenguang Wang
- Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China
| | - Honglin Yang
- Yili Friendship Hospital, Yi Ning, Xin Jiang,China
| | - Ilyar Sheyhedin
- Department of Thoracic Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
- * E-mail: (IS); (YW)
| | - Yujie Wang
- Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China
- * E-mail: (IS); (YW)
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Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature. Int J Cardiovasc Imaging 2011; 27 Suppl 1:97-102. [PMID: 22012491 DOI: 10.1007/s10554-011-9958-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2011] [Accepted: 10/04/2011] [Indexed: 10/16/2022]
Abstract
Cardiac hydatid cysts are uncommon but potentially fatal. We present a case of isolated unilocular and multivesicular hydatid cysts in the heart, and provide a literature review of this rare condition. A 35-year-old man presented to our cardiology unit with acute chest pain. Computed tomography showed two cystic lesions in the heart. One unilocular cyst was located close to the left atrium and compressed the pulmonary artery. The other multivesicular cyst adhered to the left ventricle and displaced the left coronary arteries. T2-weighted magnetic resonance images revealed lesions in the pericardial cavity with bright signal intensity. Dot immunogold filtration assay was performed, and positive results for anti-EgCF antibody, anti-EgP antibody and anti-EgB antibody for cystic hydatidosis were found. Cardiac hydatidosis was diagnosed because of typical imaging findings and positive serology. The patient underwent surgical excision of the cysts. Postoperatively, symptoms of the patient resolved.
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