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Lachhab F, Leghlimi H, Mahfoudi L, Tribak M, Soufiani A, Benbagha N, Maghraoui A, Filal J, Bensouda A, Marmade L, Moughil S. [Giant left ventricle cardiac hydatid cyst : report of a challenging case]. Ann Cardiol Angeiol (Paris) 2023; 72:101627. [PMID: 37639737 DOI: 10.1016/j.ancard.2023.101627] [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: 04/10/2023] [Revised: 06/01/2023] [Accepted: 06/26/2023] [Indexed: 08/31/2023]
Abstract
Hydatidosis is a potentially fatal parasitic disease where humans are an accidental host. The cardiac location is due to the development in the heart of the larval form of Taenia Echinococcus granulosus. We present the case of a patient with a history of pulmonary hydatid cysts who presented with atypical chest pain with a huge hydatid cyst of the anterior and lateral wall of the left ventricle of 80/66 mm in diameter responsible of a thinning of the wall of the left ventricle and close relationship with the anterior descending artery and the circumflex artery. The surgery under extracorporeal circulation reconstructed the wall of the left ventricle with a double patch.
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Affiliation(s)
- F Lachhab
- Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc.
| | - H Leghlimi
- Réanimation de chirurgie cardiovasculaire, CHU Ibn Sina, Rabat, Maroc
| | - L Mahfoudi
- Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc
| | - M Tribak
- Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc
| | - A Soufiani
- Service de cardiologie A, CHU Ibn Sina, Rabat, Maroc
| | - N Benbagha
- Service de cardiologie A, CHU Ibn Sina, Rabat, Maroc
| | - A Maghraoui
- Réanimation de chirurgie cardiovasculaire, CHU Ibn Sina, Rabat, Maroc
| | - J Filal
- Réanimation de chirurgie cardiovasculaire, CHU Ibn Sina, Rabat, Maroc
| | - A Bensouda
- Réanimation de chirurgie cardiovasculaire, CHU Ibn Sina, Rabat, Maroc
| | - L Marmade
- Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc
| | - S Moughil
- Service de chirurgie cardiovasculaire B, CHU Ibn Sina, Rabat, Maroc
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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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Abstract
Hydatid cyst is a serious parasitic infection in endemic areas. Cardiac hydatid cyst is not a common presentation, and primary pericardial hydatid cyst is rare. Echocardiography, CT, and MRI are important in diagnosing and locating cardiac echinococcosis. Herein, we present the case of an asymptomatic butcher with primary pericardial hydatid cyst and its successful treatment.
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Brain and Cardiac Concomitant Localization of the Hydatid Cyst. Case Rep Pediatr 2020; 2020:4829496. [PMID: 32908763 PMCID: PMC7450355 DOI: 10.1155/2020/4829496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Revised: 07/17/2020] [Accepted: 07/31/2020] [Indexed: 12/03/2022] Open
Abstract
Hydatid cyst is a parasitic infestation that is usually observed in the liver and lungs. The localization in the brain and the heart is exceptional. Here, we report a 11-year-old boy who was diagnosed to have two large hydatid cysts of the heart and brain. We discuss this unusual presentation of hydatid cyst and its management.
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Abstract
INTRODUCTION Echinococcosis, also called hydatid disease, is a common parasitic infection of the liver. However, echinococcus lesions rarely involve the heart, especially in children. PATIENT CONCERNS An 8-year-old child from grazing areas of northwest China was referred to our hospital for the complaint of inpersistent precordial chest pain and left upper quadrant pain for 3 years. Palpation showed hepatomegaly, abdominal palpable mass while inspection abdominal distension. Routine blood tests were within the normal ranges. DIAGNOSIS Combining the life history in pasture area, imaging features and serology results, it was consistent with the diagnosis of cardiac echinococcosis. INTERVENTIONS Surgery was performed to evacuate cyst liquid and remove the internal capsule of the cyst. OUTCOMES There was no cystic lesion in heart on ultrasound and her physical condition improved significantly after the surgery. The patient died of hepatic hydatid cyst rupture due to refusing high-risk surgical treatment and other treatment. LESSONS We presented a rare case of cystic echinococcosis involving left ventricle in a child, and surgery is an alternative and effective therapy for this lesion due to the cyst rupture or leakage that can result in anaphylaxis. The typical imaging features of the cardiac echinococcosis on cardiac magnetic resonance are presented. Patient prognosis relies on proper treatment of all lesions.
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Marcos-Garcés V, Santas E, Pellicer M, Ruiz-Granell R, Chorro FJ. Unusual Hydatid Cyst-Like Images Caused by Staphylococcus Lugdunensis Infective Endocarditis. Heart Lung Circ 2019; 28:e16-e18. [DOI: 10.1016/j.hlc.2018.07.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 07/22/2018] [Indexed: 12/11/2022]
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Separovic Hanzevacki J, Gasparovic H, Reskovic Luksic V, Ostojic Z, Biocina B. Staged management of a giant cardiac hydatid cyst: a case report. BMC Infect Dis 2018; 18:694. [PMID: 30587137 PMCID: PMC6307286 DOI: 10.1186/s12879-018-3599-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 12/07/2018] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND We report on a 21-year-old patient with a giant symptomatic hydatid cyst of the interventricular septum, to whom a staged management approach was employed. Induction medical therapy led to a reduction in the size of the cyst, which was then completely removed via surgical excision. CASE PRESENTATION A 21-year-old male Caucasian, with main complaints of fatigue and palpitations, was referred to our Centre due to a cystic formation in his left ventricle. The workup consisted of transthoracic echocardiography and cardiac magnetic resonance, which revealed a huge hydatid cyst in an active stage of disease, occupying the basal and mid part of the interventricular septum. Due to the size of the lesion and lack of viable myocardium in the affected area, the patient was declared inoperable and medical therapy was initiated. Serial echocardiography revealed a significant reduction in the size of the lesion and degradation to transitional and inactive stage, after which successful surgical excision of the cyst was performed. In the course of the medical treatment, the patient experienced sustained ventricular tachycardia causing loss of consciousness, which did not reoccur after surgical excision. CONCLUSION Medical therapy can result in the degradation of a giant heart hydatid cyst, enabling surgical excision. Heart hydatid cyst can lead to potentially lethal arrhythmia irrespective of its size and stage, which does not reoccur after successful surgical excision.
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Affiliation(s)
- Jadranka Separovic Hanzevacki
- Department of Cardiovascular Diseases, School of Medicine, University Hospital Centre Zagreb, Kispaticeva 12, 10 000, Zagreb, Croatia.
| | - Hrvoje Gasparovic
- Department of Cardiac Surgery, School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Vlatka Reskovic Luksic
- Department of Cardiovascular Diseases, School of Medicine, University Hospital Centre Zagreb, Kispaticeva 12, 10 000, Zagreb, Croatia
| | - Zvonimir Ostojic
- Department of Cardiovascular Diseases, School of Medicine, University Hospital Centre Zagreb, Kispaticeva 12, 10 000, Zagreb, Croatia
| | - Bojan Biocina
- Department of Cardiac Surgery, School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
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