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Bumann S, Kuenzli E, Lissandrin R, Brunetti E, Goblirsch S, Henning L, Tamarozzi F, Neumayr A. Cardiac cystic echinococcosis-A systematic review and analysis of the literature. PLoS Negl Trop Dis 2024; 18:e0012183. [PMID: 38814859 PMCID: PMC11139302 DOI: 10.1371/journal.pntd.0012183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 04/30/2024] [Indexed: 06/01/2024] Open
Abstract
Human cystic echinococcosis (CE) is a parasitic infection caused by the larval stage of the tapeworm Echinococcus granulosus sensu lato, primarily affecting the liver and lungs. Although the heart is affected in only 0.02-2% of all CE cases, a considerable number of cases have been, and continue to be, published. However, due to the rare occurrence of cardiac CE and the resulting lack of clinical trials, knowledge about various aspects of the disease remains limited. To obtain a clearer picture of anatomical, clinical, diagnostic as well as therapeutic aspects of cardiac CE, we systematically reviewed the literature published between 1965 and 2022. The anatomical pattern of the affected cardiac structures follows the extension of the supplying capillary bed. The majority of patients (82.7%) are symptomatic and present with prolonged non-specific symptoms such as dyspnoea, chest pain and palpitations. Acute complications generally derive from cyst rupture, occur in 18.3% of cases and manifest as embolism, pericardial tamponade, or anaphylactic reaction in 83.2%, 17.8% and 10.9% of these cases, respectively. As for CE cysts localized in other organs, the diagnosis of cardiac CE is made by imaging. Serology plays a minor role due to its limited sensitivity. Unlike abdominal CE cysts, cardiac CE cysts are usually resected independent of their stage (active/inactive), because their presence impairs cardiac performance and carries the risk of long-term sequelae. More than 80% of patients are treated with a single surgical intervention. We found a disease-related case fatality rate of 11.1%. Since local recurrence was reported up to 108 months and secondary CE up to 72 months after surgery, patients should be followed up for a minimum of 10 years.
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Affiliation(s)
- Simone Bumann
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Esther Kuenzli
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Raffaella Lissandrin
- Division of Infectious and Tropical Diseases, University of Pavia, IRCCS S. Matteo Hospital Foundation, WHO Collaborating Centre on Clinical Management of Cystic Echinococcosis, Pavia, Italy
| | - Enrico Brunetti
- Division of Infectious and Tropical Diseases, University of Pavia, IRCCS S. Matteo Hospital Foundation, WHO Collaborating Centre on Clinical Management of Cystic Echinococcosis, Pavia, Italy
| | - Sam Goblirsch
- Department of Medicine and Pediatrics, University of Minnesota, Minneapolis, Minnesota, United States of America
| | - Lars Henning
- Department of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia
| | - Francesca Tamarozzi
- Department of Infectious-Tropical Diseases and Microbiology, WHO Collaborating Centre on Strongyloidiasis and other Neglected Tropical Diseases, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy
| | - Andreas Neumayr
- Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
- Department of Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia
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Banisefid E, Baghernezhad K, Beheshti R, Hamzehzadeh S, Nemati S, Samadifar Z, Owaysee Osquee H, Javanshir E, Naseri A. Cardiac hydatid disease; a systematic review. BMC Infect Dis 2023; 23:600. [PMID: 37705012 PMCID: PMC10500901 DOI: 10.1186/s12879-023-08576-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 08/29/2023] [Indexed: 09/15/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Human cystic echinococcosis (CE), is a common health problem in low- and middle-income countries. Cardiac involvement is a relatively rare manifestation of Echinococcus infection. This study aims to summarize the evidence regarding the features of cardiac CE. METHODS Case series of the patients with cardiac CE, were included in this study. Non-English papers, case reports, reviews, letters, , commentaries, and conference abstracts were not included. A systematic search was conducted in PubMed and EMBASE databases and the risk of bias in the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. RESULTS Out of 3985 results of the searches, finally 37 studies were included in this systematic review. Based on available evidence, cardiac involvement is an uncommon but serious presentation of CE which presents with some non-specific signs and symptoms. Dyspnea, chest pain, and palpitation are the most common symptoms of the disease and normal sinus rhythm is the most common Electrocardiogram (ECG) feature. The disease is not associated with high mortality in case of timely diagnosis and appropriate management. DISCUSSION Consecutive and complete inclusion of participants, statistical analysis, and appropriate reporting of the demographics were the sources of bias in the included studies. The exclusion of non-English papers was a limitation during the review process. FUNDING The research protocol was approved and supported by the Student Research Committee, Tabriz University of Medical Sciences (grant number: 69380). REGISTRATION This study was registered in the International prospective register of systematic reviews (PROSPERO ID: CRD42022381204).
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Affiliation(s)
- Erfan Banisefid
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Kosar Baghernezhad
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Rasa Beheshti
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sina Hamzehzadeh
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Soheil Nemati
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, East Azerbaijan, 5166/15731, Iran
| | - Zahra Samadifar
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, East Azerbaijan, 5166/15731, Iran
| | - Hamid Owaysee Osquee
- Department of Infectious Disease, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Elnaz Javanshir
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Golgasht Street, Tabriz, East Azerbaijan, 5166/15731, Iran.
| | - Amirreza Naseri
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
- Research Center for Evidence-Based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran.
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Dong Z, Yusup M, Lu Y, Tang B. Hydatid cyst of the heart as a rare cause of arrhythmia, case report and review of published reports. HeartRhythm Case Rep 2022; 8:458-462. [PMID: 35774212 PMCID: PMC9237349 DOI: 10.1016/j.hrcr.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Meimand SE, Sadeghpour A, Pakbaz M, Ghavidel AA, Pouraliakbar H, Kamali M, Safaei A. Cardiac Echinococcosis Associated with Other Organ Involvement: Report of Two Challenging Cases. ACTA ACUST UNITED AC 2021; 5:33-38. [PMID: 33644511 PMCID: PMC7887518 DOI: 10.1016/j.case.2020.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Cardiac echinococcosis is a rare but potentially fatal manifestation of hydatid disease. Antiparasitic agents with surgical cyst excision is the treatment of choice. Heart team decision-based management is warranted in cases of other organ involvement.
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Affiliation(s)
- Saeed Ebrahimi Meimand
- Rajaie Cardiovascular Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Anita Sadeghpour
- Rajaie Cardiovascular Medical and Research Center, Echocardiography Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Marziyeh Pakbaz
- Department of Cardiovascular Disease, Naft Grand Hospital, Ahvaz, Iran
| | - Alireza A Ghavidel
- Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
| | - Hamidreza Pouraliakbar
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Monireh Kamali
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Safaei
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
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5
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Ben Khalfallah A, Ben Slima H. [Cardiac hydatid cyst. Which imaging modality for an accurate diagnosis?]. Ann Cardiol Angeiol (Paris) 2017; 66:102-108. [PMID: 28342525 DOI: 10.1016/j.ancard.2016.12.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Accepted: 12/21/2016] [Indexed: 11/25/2022]
Abstract
Cardiac echinococcosis is rare. Its spontaneous course is serious because of the risk of rupture. Its clinical manifestations are variable, often latent and misleading. The diagnosis is sometimes referred to by chest radiography. It is much facilitated by non-invasive imaging techniques in particular transesophageal and transthoracic echocardiography, CT scan and magnetic resonance imaging. The latter through a morphological and topographical analysis accurate diagnosis of hydatid cyst and its relationship to cardiac muscle and surrounding tissue. Through functional analysis in cine cyst movements relative to the heart wall, it confirms its free or fixed character in the heart chambers, determines its insertion area, its deformability, the risk of rupture and its impact on myocardial contraction. Our case illustrates the relative contribution of these different imaging techniques and their respective contributions to the identification of hydatid cyst of its wall, its contents, its relationship with the various tunics and heart chambers and its relations with the lungs and mediastinum.
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Affiliation(s)
- A Ben Khalfallah
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de cardiologie, hôpital De Menzel Bourguiba, 7050 Bourguiba, Tunisie.
| | - H Ben Slima
- Faculté de médecine de Tunis, université de Tunis El Manar, 1007 Tunis, Tunisie; Service de cardiologie, hôpital De Menzel Bourguiba, 7050 Bourguiba, Tunisie
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Yasim A, Ustunsoy H, Gokaslan G, Hafız E, Arslanoglu Y. Cardiac Echinococcosis: A Single-Centre Study with 25 Patients. Heart Lung Circ 2017; 26:157-163. [DOI: 10.1016/j.hlc.2016.05.122] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Revised: 05/29/2015] [Accepted: 05/26/2016] [Indexed: 10/21/2022]
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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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Fiengo L, Bucci F, Giannotti D, Patrizi G, Redler A, Kucukaksu DS. Giant cardiac hydatid cyst in children: case report and review of the literature. CLINICAL MEDICINE INSIGHTS-CASE REPORTS 2014; 7:111-6. [PMID: 25249763 PMCID: PMC4167224 DOI: 10.4137/ccrep.s15862] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Revised: 06/08/2014] [Accepted: 06/12/2014] [Indexed: 12/05/2022]
Abstract
Cardiac echinococcus is a rare affliction of the heart caused by the tapeworm Echinococcus granulosus. Primary echinococcosis of the heart represents 0.5–2% of all hydatid disease cases in endemic regions. It evolves slowly, explaining its rarity in children. We report the case of a 11-year-old child affected by a giant cardiac cyst of the left ventricle (LV). The patient underwent cardiac surgery and medical treatment. A retrospective review of the current literature was realized. We found 18 cases: the mean age was 11-years old. Nine cysts were localized in the LV, four in the interventricular septum, three in the right ventricle, and two in the right atrium. All underwent surgery except six patients. Routine echocardiographic screening may be useful in endemic regions where infestation is common. Cardiac echinococcus should be diagnosed in the early and uncomplicated stages and be removed surgically even in asymptomatic patients.
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Affiliation(s)
- Leslie Fiengo
- Department of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
| | - Federico Bucci
- Department of Vascular Surgery, Centre Hospitalier Sud Gironde, Langon, France
| | - Domenico Giannotti
- Department of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
| | - Gregorio Patrizi
- Department of Surgical Sciences, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy
| | - Adriano Redler
- Department of Vascular Surgery, Centre Hospitalier Sud Gironde, Langon, France
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9
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Yan F, Huo Q, Abudureheman M, Qiao J, Ma S, Wen H. Surgical treatment and outcome of cardiac cystic echinococcosis. Eur J Cardiothorac Surg 2014; 47:1053-8. [PMID: 25193952 DOI: 10.1093/ejcts/ezu323] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 07/21/2014] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES Cardiac cystic echinococcosis (CE), or hydatid cyst is exceptionally uncommon. We review the experience of surgical treatment of cardiac CE. METHODS Twenty-six patients (11 females; mean age, 28.9 ± 7.6 years) with cardiac CE undergoing surgical treatment from February 1978 to April 2013 were reviewed. The operative methods mainly included puncture-aspiration cystectomy, intact endocyst enucleation and total cyst resection. RESULTS Cardiac CE was located in the myocardium in 16 cases, pericardium in 8 and both myocardium and pericardium in 2. There were 21 cases with solitary hydatid cyst including at the left ventricle in 7, right ventricle in 5, right atrium in 2, interventricular septum in 1 and at the pericardium in 6; 5 cases were with multiple cysts. There was no operative mortality. All patients received albendazole postoperatively. The mean follow-up time was 68 ± 21 months (range 7-195 months) except for 4 who were lost to follow-up. There were three recurrences and one late death. CONCLUSIONS Cardiac cystic echinococcosis (CE) remains a very infrequent zoonotic infection. Presenting symptoms of cardiac hydatid disease are variable depending on the size, number and location of the cyst. Echocardiography, corroborated with computed tomography or magnetic resonance imaging, affords the best diagnostic and follow-up confirmation. Surgical treatment is associated with a low morbidity and mortality, and the selection of proper technique is very important to completely remove the hydatid cyst and prevent recurrence. Postoperative oral antiparasitic therapy is necessary for a definitive cure.
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Affiliation(s)
- Fei Yan
- Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Qiang Huo
- Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Murat Abudureheman
- Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Jun Qiao
- Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - SongFeng Ma
- Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Hao Wen
- Xinjiang Key Lab of Fundamental Medical Research and Xinjiang Hydatid Clinical Research Institute, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
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10
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Dogra N, Puri GD, Kumar B. Isolated pericardial echinococcosis: Perioperative transesophageal echocardiographic evaluation. J Cardiovasc Dis Res 2013; 4:149-51. [PMID: 24027375 DOI: 10.1016/j.jcdr.2012.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Accepted: 11/12/2012] [Indexed: 11/28/2022] Open
Abstract
Hydatid cyst (HC) is a human parasitic disease caused by the larval stage of Echinococcus granulosus. Cardiac involvement is rare and occurs in 0.5%-2% of patients with hydatid cyst, but isolated pericardial hydatid cyst is rarer still. We present two cases of isolated pericardial hydatid cyst who presented with precordial chest pain and dyspnea. In both the cases, HC were diagnosed by transthoracic echo (TTE), Computed Tomography/Magnetic Resonance and positive hydatid serology. Intraoperatively transesophageal echo (TEE) revealed unilocular transitional cystic lesion the transverse pericardial sinus in one case and multilobulated active cystic lesion in another. The report highlights the role of TEE in diagnosis and evaluation of cardiac HC. Both the cases underwent surgical resection followed by albendazole therapy to prevent recurrence.
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Affiliation(s)
- Neeti Dogra
- Department of Anaesthesiology and Intensive Care, Advanced Cardiac Centre, PGIMER, Chandigarh 160 012, India
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11
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Birincioglu CL, Kervan U, Tufekcioglu O, Ozen A, Bardakci H, Kucuker SA, Saritas A. Cardiac echinococcosis. Asian Cardiovasc Thorac Ann 2013; 21:558-65. [DOI: 10.1177/0218492312463210] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective Cardiac echinococcosis is an extremely rare disease, seen worldwide. Some clinical characteristics are unknown, and treatment modalities are unclear. Methods 41 patients diagnosed with cardiac or pericardial echinococcosis underwent surgery. We evaluated the patients echocardiographically in 8 different categories: cardiac echinococcosis lesions located within the heart, imaging appearance of each lesion, activity of the cysts, mode of cardiac echinococcosis, and number of cardiac lesions per patient. The surgical technique was reevaluated according to the intraoperative echocardiographic findings, especially according to the mode of the lesion. Results The hydatid cysts were located in the ventricular wall in 34 cases, the right atrium in 2, the noncoronary sinus Valsalva of the aorta in 1, between the aorta and the pulmonary bifurcation in 1, and in the pericardium alone in 4 cases. In 1 case, septal rupture occurred and the patient died. Relapse was seen in 1 patient who was operated on due to multiple ventricular and pericardial cysts; this patient underwent a second operation 6 years and 8 months after the initial surgery. Conclusion Recent echocardiographic developments and application of intraoperative echocardiography enables a detailed classification for extirpation, and allows successful treatment.
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Affiliation(s)
- Cemal Levent Birincioglu
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Umit Kervan
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Omac Tufekcioglu
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Anil Ozen
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Hasmet Bardakci
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Seref Alp Kucuker
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
| | - Ahmet Saritas
- Departments of Cardiovascular Surgery and Cardiology, Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey
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Turak O, Ozcan F, Sökmen E, Işleyen A, Okten RS, Tüfekçioğlu O, Birincioğlu CL. Syncope as the primary manifestation of hydatid cyst. Report of two cases with different etiologies. Herz 2013; 39:287-90. [PMID: 23749195 DOI: 10.1007/s00059-013-3827-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Accepted: 03/31/2013] [Indexed: 12/14/2022]
Abstract
Hydatid disease is a parasitic infestation that is caused by the larvae of the tapeworm Echinococcus granulosus. Clinical manifestations are extremely variable and related to the location and the size of the cysts. Syncope as the first clinical presentation of hydatid cyst is a very rare condition. Herein, we report two cases of patients with cardiac and pleural hydatid cysts who had syncope as the initial symptom.
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Affiliation(s)
- O Turak
- Department of Cardiology, Türkiye Yüksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey,
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Chaurasia AS, Nawale JM, Patil SN, Yemul MA, Mukhedkar S, Sharma SK, K V, Punjabi P. Cystic hydatidosis of the heart and brain. Echocardiography 2012; 29:E208-9. [PMID: 22694125 DOI: 10.1111/j.1540-8175.2012.01743.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Affiliation(s)
- Ajay S Chaurasia
- Department of Cardiology, Topiwala National Medical College and B Y L Nair Charitable Hospital, Mumbai, India
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Akpinar I, Tekeli S, Sen T, Sen N, Basar N, Cagli KE, Cay S, Tufekcioglu O, Ozbulbul NI. Extremely rare cardiac involvement: recurrent pericardial hydatid cyst. Intern Med 2012; 51:391-3. [PMID: 22333375 DOI: 10.2169/internalmedicine.51.6370] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Echinococcus granulosus is a common infestation in sheep and cattle raising countries. Although it is typically encountered in liver and lung, rare cardiac involvement of this infestation has very important clinical complications such as heart failure, valve regurgitation, pericardial effusion-tamponade and arrhythmia. In addition, pericardial infestation is an extremely rare condition of Echinococcus granulosus. Here, we report a case of recurrent pericardial hydatid cyst presenting exertional dyspnea, palpitation and presyncope attacks in a 72-year-old man. The diagnosis of recurrent pericardial hydatid cyst was made by transthoracic echocardiography, computed tomography and surgical history.
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Affiliation(s)
- Ibrahim Akpinar
- Department of Cardiology, Zonguldak Karaelmas University, Faculty of Medicine, Turkey.
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Tokgoz HC, Tanboga IH, Uslu ZA, Tuncer A, Kaymaz C. Huge intramyocardial echinococcal cyst resulting in a significant left ventricular cavity obliteration evaluated by real-time 3-dimensional transesophageal echocardiography and multidetector computed tomography before and after complete excision. Circulation 2011; 124:1692-3. [PMID: 21986776 DOI: 10.1161/circulationaha.110.985432] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Hacer Ceren Tokgoz
- Kartal Kosuyolu Yuksek Ihtisas ve Egitim ve Arastirma Hastanesi, Kardiyoloji Klinigi, Cevizli 34865, Kartal, Istanbul, Turkey
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Walpot J, Shivalkar B, Pasteuning WH, Hokken R. Staphylococcus aureus Infective Endocarditis Mimicking a Hydatid Cyst. Echocardiography 2010; 27:E80-2. [DOI: 10.1111/j.1540-8175.2010.01160.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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