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Suwal S, Katwal S, Lamichhane S, Chataut D, Bhusal A, Sharma A. Pericardial hydatid cyst: A comprehensive case report on diagnosis and multidisciplinary intervention in a young patient. Radiol Case Rep 2024; 19:2832-2836. [PMID: 38689818 PMCID: PMC11059308 DOI: 10.1016/j.radcr.2024.03.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 03/18/2024] [Accepted: 03/24/2024] [Indexed: 05/02/2024] Open
Abstract
Pericardial hydatid cysts, although rare, present unique diagnostic challenges and require a multidisciplinary approach for effective management. This parasitic infection, caused by Echinococcus granulosus larvae, typically affects the liver and lungs but can manifest in the pericardium, leading to potentially life-threatening complications if untreated. The 22-year-old female's escalating dyspnea posed diagnostic challenges despite inconclusive echocardiography. Employing a multidisciplinary strategy, including preoperative albendazole therapy and surgical excision, effectively managed the condition. This case highlights the intricate diagnostic nature of pericardial hydatid cysts, emphasizing the importance of heightened clinical awareness, especially in endemic regions. The detailed clinical trajectory, imaging methodologies, and therapeutic interventions contribute significant insights to the medical community. The study aims to deepen comprehension and guide clinicians in refined diagnostic and treatment approaches for pericardial hydatid cysts, ultimately improving patient outcomes. It underscores the imperative for continued research in this niche to enhance medical understanding and optimize clinical practices.
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Affiliation(s)
- Sundar Suwal
- Department of Radiology, Maharajgunj Medical College, Kathmandu, Nepal
| | - Shailendra Katwal
- Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, Nepal
| | - Suman Lamichhane
- Department of Radiology, Nepal A.P.F. Hospital, Kathmandu, Nepal
| | - Dinesh Chataut
- Department of Radiology, Maharajgunj Medical College, Kathmandu, Nepal
| | - Amrit Bhusal
- Department of Radiology, BP Koirala Institute of Health Sciences, Sunsari, Nepal
| | - Aakriti Sharma
- Department of Cardiothoracic Surgery, Manmohan Cardiac, Vascular and Transplant Center, Kathmandu, Nepal
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Chalhoub G, Kamel A, Levsky J, Schenone A, Garcia MJ. A Large Cyst in an Unlikely Location: The Interventricular Septum. CASE (PHILADELPHIA, PA.) 2023; 7:401-404. [PMID: 37970483 PMCID: PMC10635888 DOI: 10.1016/j.case.2023.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2023]
Abstract
•A large cardiac cyst was discovered in an extremely rare location: the IVS. •Pre- and postcontrast imaging is essential in the evaluation of a cystic mass. •When identifying a cardiac cyst, malignancy and infection must be considered. •The benefit of excising a cardiac cyst is unclear in an asymptomatic older patient.
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Affiliation(s)
- George Chalhoub
- Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
| | - Andrew Kamel
- Department of Internal Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
| | - Jeffrey Levsky
- Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
| | - Aldo Schenone
- Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
| | - Mario J. Garcia
- Division of Cardiology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
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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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Anari S, Goli R, Faraji N, Rahimi K, Babamiri B, Zare F. Surgical excision for gigantic bilateral pulmonary hydatid cyst in a 14-year-old adolescent: A case report study. Int J Surg Case Rep 2023; 109:108548. [PMID: 37506528 PMCID: PMC10413066 DOI: 10.1016/j.ijscr.2023.108548] [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: 05/14/2023] [Revised: 07/07/2023] [Accepted: 07/15/2023] [Indexed: 07/30/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Bilateral pulmonary hydatid cysts in adolescents are rare and present unique diagnostic and treatment challenges. Adolescents with pulmonary hydatid disease often present with nonspecific symptoms such as cough, abdominal pain, nausea, vomiting, and hepatosplenomegaly. CASE PRESENTATION This case is about 14-year-old adolescent who reported feeling a mass in his chest and experienced a loss of appetite. Imaging studies were performed which showed the presence of bilateral hydatid cyst in the lung. The cyst contents were sent for histopathological analysis, which confirmed the diagnosis of hydatid cysts. CLINICAL DISCUSSION The clinical presentation of hydatid cysts varies depending on the organs involved. Bilateral hydatid cysts may occur in various organs such as liver, lung, brain, spleen, kidney, bone and other sites. Diagnosis of bilateral hydatid cysts in adolescents is difficult because symptoms may be nonspecific and the cysts may not be apparent until they reach a sufficient size. The type of surgical approach depends on the location, size, and number of cysts. CONCLUSION Bilateral pulmonary hydatid cysts have become an increasingly important diagnosis in adolescent patients. Imaging plays a critical role in prompt diagnosis, and surgical intervention remains the mainstay of management. There are limited studies regarding the management of such rare cases, but through a multidisciplinary approach, improved outcomes can be achieved.
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Affiliation(s)
- Sina Anari
- Department of Nursing, School of Nursing and Midwifery, Islamic Azad University Maragheh Branch, Nursing and Midwifery Faculty Maragheh Branch, Tabriz 575611-5111, Iran
| | - Rasoul Goli
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran
| | - Navid Faraji
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran
| | - Kamal Rahimi
- Department of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran
| | - Behnam Babamiri
- Department of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran
| | - Farzaneh Zare
- Department of Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Nursing and Midwifery Faculty, Campus Nazlu, 11 KM Road Seru, Urmia 575611-5111, West Azerbaijan, Iran.
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Vahidshahi K, Tahouri T, Farahmandi F, Hekmat M. Large right ventricular hydatid cyst in a child: a case report. Egypt Heart J 2023; 75:65. [PMID: 37480492 PMCID: PMC10363099 DOI: 10.1186/s43044-023-00386-x] [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: 11/24/2022] [Accepted: 06/29/2023] [Indexed: 07/24/2023] Open
Abstract
BACKGROUND Cystic Hydatid disease is a parasitic infection with a worldwide distribution. It is caused by the larval stages of a species of tapeworms known as Echinococcus granulosus. Even in endemic areas; Cardiac involvement by hydatidiosis is very rare and has atypical presentations as well as localization which make it undiagnosed in about 10% of cases. The left ventricle is the most Common chamber involved by the hydatid cyst and isolated involvement of the right ventricle is very rare, especially in children. The aim of the present study was to describe hydatid cardiac cyst of the right ventricle of a child. CASE PRESENTATION We present a rare case of an 8 year-old boy, living in a rural area, who was diagnosed with a cardiac hydatid cyst in the right ventricle. He also had multiple pulmonary hydatid cysts and presented with dyspnea, cough and atypical chest pain. The patient underwent surgery for the resection of pulmonary cysts and, subsequently, cardiac hydatid cyst. The outcome was favorable seven weeks after surgery and there was no clinical and echocardiographic recurrence. CONCLUSION Cardiac Echinococcosis must be suspected in endemic areas, diagnosed with appropriate imaging techniques, and treated appropriately.
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Affiliation(s)
- Kourosh Vahidshahi
- School of Medicine, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Tahmineh Tahouri
- Department of Pediatric Cardiology, School of Medicine, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Science, Intersection of Saadat Abad and Yadegar Imam Highway, Tehran, Iran
| | - Farzaneh Farahmandi
- School of Medicine, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Manouchehr Hekmat
- School of Medicine, Shahid Modarres Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Moraes RPD, Brida MSD, Reis RM, Silva RS, Farias CBD. Cardiac Hydatid Cyst: An Uncommon Cause of Complete Atrioventricular Block. Arq Bras Cardiol 2023; 120:e20220597. [PMID: 37255128 PMCID: PMC10348382 DOI: 10.36660/abc.20220597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 12/19/2022] [Accepted: 02/15/2023] [Indexed: 06/01/2023] Open
Abstract
Hydatidosis is a zoonosis caused by Echinococcus granulosus, leading to the formation of cysts on involved organs. Cardiac involvement is rare and can cause a wide range of complications secondary to rupture, embolization, or compression. Its diagnosis is challenging, and is generally confirmed through data related to clinical manifestations, environmental exposure, and laboratory and imaging exams. Surgical removal is necessary in most cases, in which an association with antiparasite therapy is recommended. The present article describes a case of a cardiac hydatid cyst associated with a complete atrioventricular block (AVB) in a young adult patient, with the need for a pacemaker implant, an atypical presentation, and scarce reports in the literature.
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Li T, Ling Y, Qian Y. Precordial pain induced by the isolated cardiac hydatid cyst in interventricular septum: a case report. J Cardiothorac Surg 2023; 18:173. [PMID: 37149618 PMCID: PMC10164317 DOI: 10.1186/s13019-023-02247-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 04/02/2023] [Indexed: 05/08/2023] Open
Abstract
BACKGROUND Human hydatid disease occurs after infection with Echinococcus granulosus, mainly involves liver and lung, while hydatid involves heart is infrequent. A great majority of hydatid diseases could be asymptomatic, and incidentally found through examination. Here, we reported a woman who suffered an isolated cardiac hydatid cyst located at the interventricular septum. CASE PRESENTATION A 48-year-old woman presented intermittent chest pain was admitted to the hospital. Imaging examination revealed a cyst located at the interventricular septum near the right ventricular apex. Considering medical history, radiological findings and serological results, cardiac hydatid disease was suspected. The cyst was successfully removed, while pathological biopsy confirmed the diagnosis of infection of Echinococcus granulosus. Postoperative course was uneventful, the patient was discharged from hospital without complications. CONCLUSION For symptomatic cardiac hydatid cyst, surgical resection is necessary to avoid progression of disease. During surgical procedure, appropriate methods to reduce the potential risk of hydatid cyst metastasis are essential. Besides surgery, combined with regular drug therapy is an effective strategy to prevent reappearance.
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Affiliation(s)
- Tiange Li
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxuexiang 37th, Chengdu, 610041, Sichuan, P. R. China
| | - Yunfei Ling
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxuexiang 37th, Chengdu, 610041, Sichuan, P. R. China
| | - Yongjun Qian
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Guoxuexiang 37th, Chengdu, 610041, Sichuan, P. R. China.
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Ahmad Y, Maree G, Omar S, Alkhalaf H. A rare location of cardio hydatid cyst with multiple organ involvement: a case report. Ann Med Surg (Lond) 2023; 85:1220-1222. [PMID: 37113847 PMCID: PMC10129155 DOI: 10.1097/ms9.0000000000000448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 03/16/2023] [Indexed: 04/29/2023] Open
Abstract
Cardiac cysts in hydatid cysts, a parasitic disease, are extremely rare, and left-atrial hydatid cysts are even more unusual. Therefore, the authors report herein a rare case of a hydatid cyst in the left atrium. According to them, this is the third documented case of left-atrial hydatid cysts. Presentation of Case A 25-year-old male presented at the outpatient clinic with atypical chest pain, hacking cough, dyspnoea, nausea, and vomiting for 2 months. Echocardiography showed a left-atrial unilocular, well-delineated mass. The authors also found multiple liver cysts and spleen cysts. Discussion The widespread distribution of the disease in our regions, the dog contact story of the patient, and the appearance on echocardiograms were strong reasons to diagnose a hydatid cyst in the left atrium, which may cause many symptoms (bundle branch conduction, arrhythmias, myocardial infarction) or unexpected death. Conclusions The authors aimed to report this case due to the disease's high probability of death, even asymptomatic patients with cardiac hydatid disease should all be referred for early surgery.
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Affiliation(s)
- Yara Ahmad
- Faculty of Medicine, Damascus University, Damascus
- Corresponding author. Address: Al-Mazza, Damascus, Syria. Tel: +00963992285436. E-mail address: (Y. Ahmad Ahmad)
| | - Gulan Maree
- Department of Pediatric Surgery, Tishreen University Hospital, Lattakia
| | - Sherawan Omar
- Department of Cardiology, Dil Û Çav Hospital, Al Qamshli, Syria
| | - Hussam Alkhalaf
- Department of Cardiology, Dil Û Çav Hospital, Al Qamshli, Syria
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Nguyen HTT, Pham VT, Duong HD, Kirkpatrick JN, Taylor WR, Pham HM. Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report. Front Cardiovasc Med 2022; 9:1055000. [PMID: 36588570 PMCID: PMC9795171 DOI: 10.3389/fcvm.2022.1055000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 11/22/2022] [Indexed: 12/15/2022] Open
Abstract
Cardiac echinococcosis is a potentially fatal form of hydatid disease; yet, its diagnosis and treatment are challenging due to the variability in its clinical manifestations and due to its various unpredictable preoperative complications. Multi-modality imaging is shown to provide important guidance for the treatment and decision-making. We report a rare case of a 50-year-old woman who had concomitant cardiac and hepatic hydatid cysts. She presented with abdominal pain and elevated eosinophilic white blood cells. The initial abdominal ultrasound and computerized tomography revealed a large cyst in the liver. An intramyocardial cyst was detected by two-dimensional echocardiography. Three-dimensional echocardiography increased the confidence level of two-dimensional echocardiography by displaying the three-dimensional volume of the cyst and allowing visualization of its spatial characteristics and the relationships with adjacent cardiac structures, which was subsequently confirmed at surgery. Multi-detector computed tomography and magnetic resonance imaging helped localize and define the typical morphological features of the cyst. Serology and antigen detection were used for diagnosis. This rare case underlines the integration of clinical, multi-modality imaging, and pathological data in the diagnosis of concomitant intramyocardial and hepatic hydatid cysts. Surgical resection of cysts and anthelmintic medication were successful in the management of this patient.
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Affiliation(s)
- Hoai Thi Thu Nguyen
- Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam,Department of Internal Medicine, VNU-University of Medicine and Pharmacy, Hanoi, Vietnam,*Correspondence: Hoai Thi Thu Nguyen
| | - Viet Tuan Pham
- Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam
| | - Hung Duc Duong
- Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam
| | - James N. Kirkpatrick
- Cardiovascular Division, Department of Medicine, University of Washington Medical Center, Seattle, WA, United States,Department of Bioethics and Humanities, University of Washington Medical Center, Seattle, WA, United States
| | - Walter Robert Taylor
- Mahidol Oxford Tropical Medicine Research Unit, Bangkok, Thailand,Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, United Kingdom
| | - Hung Manh Pham
- Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, Vietnam,Department of Cardiology, Hanoi Medical University, Hanoi, Vietnam
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Muacevic A, Adler JR. Cardiac Echinococcosis With Hepatic Involvement in a Child: A Case Report. Cureus 2022; 14:e30390. [PMID: 36407185 PMCID: PMC9668324 DOI: 10.7759/cureus.30390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2022] [Indexed: 01/25/2023] Open
Abstract
Hydatidosis is endemic in Morocco. Cardiac localization of hydatid disease is a rare entity. Involvement of the interventricular septum is even rarer. We report the case of a 6-year-old girl with combined hepatocardiac hydatid disease. She was admitted with complaints of dyspnea, asthenia and vomiting. Ultrasound imaging and CT scan showed cystic lesions in the interventricular septum and in the liver. Serologic test results were positive. According to the biological and radiological findings, the diagnosis of echinococcosis with cardiac and hepatic involvement was suggested. Complete excision of the cardiac cyst was performed followed by anthelminthic treatment with albendazole as a supportive therapy. The confirmative diagnosis of hydatid disease was made by microscopic examination of the removed material. Our patient was referred to the department of general surgery to treat the liver lesions in the future. The postoperative period was unremarkable.
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Abstract
Echinococcosis is a worldwide public health problem causing considerable paediatric morbidity and mortality in endemic areas. The presentation of cystic echinococcosis (CE) varies by age. Unlike adults, where hepatic involvement is common, pulmonary CE is the dominant site in the paediatric population. Pulmonary cysts are typically first seen on chest X-ray, either as an incidental finding or following respiratory symptoms after cyst rupture or secondary infection of the cyst. In children, pulmonary cysts have a broad differential diagnosis, and a definitive diagnosis relies on the combination of imaging, serology, and histology. In countries with high infectious burdens from diseases such as acquired immunodeficiency syndrome (AIDS) and tuberculosis (TB), the diagnosis is additionally challenging, as atypical infections are more common than in developed countries. Pulmonary CE is treated with a combination of surgery and chemotherapy.
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Abbas M, Shaghaleh MM, Sultan MN, Aljress A, Kashkash MF. A rare case of interventricular hydatid cyst in a 17-year-old male: A case report. Ann Med Surg (Lond) 2022; 80:104058. [PMID: 36045850 PMCID: PMC9422047 DOI: 10.1016/j.amsu.2022.104058] [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: 04/21/2022] [Revised: 06/18/2022] [Accepted: 06/21/2022] [Indexed: 12/04/2022] Open
Abstract
Introduction and importance Echinococcus infection affects the liver and lungs. However, in unusual cases it may take location in the heart. Furthermore, the settling of the cysts in the interventricular septum are especially rare. Case presentation We report a case of a 17-years old male presented with dyspnea and productive cough. Ultrasound showed an incidental finding of a cyst in the distal part of the interventricular septum and the apex of left ventricle. He was treated with a course of antibiotics with albendazole 800 mg then was referred to the cardiac surgery department. The cyst with all its layers was resected. Clinical discussion Cardiac hydatid cyst is extremely rare. Especially the involvement of the interventricular septum as it is responsible for only 4% of cardiac cases. Its symptoms maybe nonspecific and the diagnoses is based on echography and computed tomography. The surgical treatment under cardiopulmonary by-bass with complementary course of albendazole 800 mg seems to have a good prognostic outcome. Conclusion Cardiac echinococcus should be kept in mind in endemic regions. The diagnosis should be made in the early and uncomplicated stages since it may be fatal. Echocardiography is sensitive and useful for the diagnosis. Incidence of hydatid cysts in the interventricular septum is extremely rare. Echocardiography and computed tomography presents excellent diagnostic procedures. Cardiac hydatid disease should be diagnosed in early stages as it may be fatal. Surgical excision and long therapy with albendazole is the preferred treatment.
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Bajdechi M, Manolache D, Tudor A, Orghidan M, Gurghean A. Cardiac hydatid cysts in a young man: A case report and a literature review. Exp Ther Med 2022; 24:550. [DOI: 10.3892/etm.2022.11487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 05/31/2022] [Indexed: 11/05/2022] Open
Affiliation(s)
- Mircea Bajdechi
- Department 1, Medical Semiology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Dalia Manolache
- Department of Pneumology and Thoracic Surgery, ‘Marius Nasta’ Institute of Pneumology, 050159 Bucharest, Romania
| | - Adrian Tudor
- Department of Pneumology and Thoracic Surgery, ‘Marius Nasta’ Institute of Pneumology, 050159 Bucharest, Romania
| | - Mihnea Orghidan
- Department 1, Medical Semiology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania
| | - Adriana Gurghean
- Department 1, Medical Semiology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania
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The Interventricular Septum: Structure, Function, Dysfunction, and Diseases. J Clin Med 2022; 11:jcm11113227. [PMID: 35683618 PMCID: PMC9181036 DOI: 10.3390/jcm11113227] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/25/2022] [Accepted: 06/04/2022] [Indexed: 02/05/2023] Open
Abstract
Vertebrates developed pulmonary circulation and septated the heart into venous and arterial compartments, as the adaptation from aquatic to terrestrial life requires more oxygen and energy. The interventricular septum (IVS) accommodates the ventricular portion of the conduction system and contributes to the mechanical function of both ventricles. Conditions or diseases that affect IVS structure and function (e.g., hypertrophy, defects, other) may lead to ventricular pump failure and/or ventricular arrhythmias with grave consequences. IVS structure and function can be evaluated today using current imaging techniques. Effective therapies can be provided in most cases, although definitions of underlying etiologies may not always be easy, particularly in the elderly due to overlap between genetic and acquired causes of IVS hypertrophy, the most common being IVS abnormality. In this review, state-of-the-art information regarding IVS morphology, physiology, physiopathology, and disease is presented.
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Ling Y, Li T. Young Woman with Syncope. Ann Emerg Med 2022; 79:571-579. [DOI: 10.1016/j.annemergmed.2022.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Indexed: 11/01/2022]
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Callalli E, Pelaez C, Armendáriz-Ferrari JC, Gonzales S, Salas M, Niño M, Bombilla A. Giant cardiac hydatid cyst causing sustained ventricular tachycardia. Successful surgical treatment. ARCHIVOS PERUANOS DE CARDIOLOGIA Y CIRUGIA CARDIOVASCULAR 2022; 3:117-120. [PMID: 37283603 PMCID: PMC10241341 DOI: 10.47487/apcyccv.v3i2.209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 06/25/2022] [Indexed: 06/08/2023]
Abstract
Cardiac involvement of hydatid disease is rare. In Peru, a country with a high prevalence of this infectious disease, few cases of cardiac hydatid disease have been reported. We present the case of a man with a cardiac hydatid cyst of more than 10 cm in diameter that debuted with malignant arrhythmia and successfully treated with surgery.
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Affiliation(s)
- Edmy Callalli
- Cardiothoracic Surgery Department, Hospital Nacional Hipólito Unanue. Lima, Peru.Cardiothoracic Surgery DepartmentHospital Nacional Hipólito UnanueLimaPeru
| | - Christian Pelaez
- Cardiology Service, Hospital Nacional Hipólito Unanue. Lima, Peru. Cardiology ServiceHospital Nacional Hipólito UnanueLimaPeru
| | - José Carlos Armendáriz-Ferrari
- Cardiology Service, Hospital Nacional Hipólito Unanue. Lima, Peru. Cardiology ServiceHospital Nacional Hipólito UnanueLimaPeru
| | - Silvana Gonzales
- Cardiothoracic Surgery Department, Hospital Nacional Hipólito Unanue. Lima, Peru.Cardiothoracic Surgery DepartmentHospital Nacional Hipólito UnanueLimaPeru
| | - Mercedes Salas
- Cardiothoracic Surgery Department, Hospital Nacional Hipólito Unanue. Lima, Peru.Cardiothoracic Surgery DepartmentHospital Nacional Hipólito UnanueLimaPeru
| | - Martín Niño
- Cardiothoracic Surgery Department, Hospital Nacional Hipólito Unanue. Lima, Peru.Cardiothoracic Surgery DepartmentHospital Nacional Hipólito UnanueLimaPeru
| | - Anibal Bombilla
- Cardiothoracic Surgery Department, Hospital Nacional Hipólito Unanue. Lima, Peru.Cardiothoracic Surgery DepartmentHospital Nacional Hipólito UnanueLimaPeru
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17
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Bugra Z, Emet S, Umman B, Ozer PK, Sezer M, Baykiz D, Atilgan D, Tireli E, Dursun M, Yılmazbayhan D, Karaayvaz EB, Elitok A, Bilge AK, Goren T, Umman S, Kumrular M, Yilmaz M, Sonsoz MR, Engin B, Ayduk E, Aydogan M, Cevik E, Kavak I, Orta H, Tasdemir M, Tuncozgur A, Topcak Z, Gorgun OD, Oztas DM. Intracardiac masses: Single center experience within 12 years: I-MASS Study. AMERICAN HEART JOURNAL PLUS : CARDIOLOGY RESEARCH AND PRACTICE 2022; 13:100081. [PMID: 38560087 PMCID: PMC10978191 DOI: 10.1016/j.ahjo.2021.100081] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/27/2021] [Accepted: 12/07/2021] [Indexed: 04/04/2024]
Abstract
Objective The aim of this cross-sectional, retrospective, descriptive study was to review and classify cardiac masses systematically and to determine their frequencies. Methods The medical records of 64,862 consecutive patients were investigated within 12 years. Every patient with a cardiac mass imaged by transthoracic echocardiography (TTE) and confirmed with an advanced imaging modality such as transesophageal echocardiography (TEE), computed tomography (CT) and/or cardiac magnetic resonance imaging (CMR) was included. Acute coronary syndromes triggering thrombus formation, vegetations, intracardiac device and catheter related thrombi were excluded. Results Data demonstrated 127 (0.195%) intracardiac masses consisting of 33 (0.050%) primary benign, 3 (0.004%) primary malignant, 20 (0.030%) secondary tumors, 3 (0.004%) hydatid cysts and 68 (0.104%) thrombi respectively. The majority of primary cardiac tumors were benign (91.67%), predominantly myxomas (78.79%), and the less malignant (8.33%). Secondary cardiac tumors were common than the primary malignant tumors (20:3), with male dominancy (55%), lymphoma and lung cancers were the most frequent. Intracardiac thrombi was the majority of the cardiac masses, thrombi accompanying malignancies were in the first range (n = 17, 25%), followed by autoimmune diseases (n = 13, 19.12%) and ischemic heart disease with low ejection fraction (n = 12, 17.65%). Conclusions This retrospective analysis identified 127 patients with cardiac masses. The majority of benign tumors were myxoma, the most common tumors that metastasized to the heart were lymphoma and lung cancers, and the thrombi associated with malignancies and autoimmune diseases were the most frequent.
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Affiliation(s)
- Zehra Bugra
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Samim Emet
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Berrin Umman
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Pelin Karaca Ozer
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Murat Sezer
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Derya Baykiz
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Dursun Atilgan
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Emin Tireli
- Istanbul University, Istanbul Medical Faculty, Department of Cardiovascular Surgery, Turkey
| | - Memduh Dursun
- Istanbul University, Istanbul Medical Faculty, Department of Radiology, Turkey
| | - Dilek Yılmazbayhan
- Istanbul University, Istanbul Medical Faculty, Department of Pathology, Turkey
| | | | - Ali Elitok
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Ahmet Kaya Bilge
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Taner Goren
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Sabahattin Umman
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Collaborators
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
- Istanbul University, Istanbul Medical Faculty, Department of Cardiovascular Surgery, Turkey
- Istanbul University, Istanbul Medical Faculty, Department of Radiology, Turkey
- Istanbul University, Istanbul Medical Faculty, Department of Pathology, Turkey
| | - Merve Kumrular
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Mustafa Yilmaz
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Mehmet Rasih Sonsoz
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Berat Engin
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Elif Ayduk
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Mehmet Aydogan
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Erdem Cevik
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Ilyas Kavak
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Huseyin Orta
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Mucahit Tasdemir
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Asli Tuncozgur
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Zeynep Topcak
- Istanbul University, Istanbul Medical Faculty, Department of Cardiology, Turkey
| | - Ozerk Dogus Gorgun
- Istanbul University, Istanbul Medical Faculty, Department of Pathology, Turkey
| | - Didem Melis Oztas
- Istanbul University, Istanbul Medical Faculty, Department of Cardiovascular Surgery, Turkey
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18
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de Gregorio C, Ferrazzo G, Ceresa F, De Donno BF, Patanè F. Dynamic right ventricular outflow tract obstruction by cardiac hydatic cysts: A multimodality imaging study. JOURNAL OF CLINICAL ULTRASOUND : JCU 2021; 49:690-692. [PMID: 33634879 DOI: 10.1002/jcu.22993] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Revised: 02/02/2021] [Accepted: 02/10/2021] [Indexed: 06/12/2023]
Abstract
We report the case of massive hydatic heart disease in a 50-year-old male patient referred to hospital for recent-onset dyspnea, atypical chest, and hypotension. Right ventricular outflow tract obstruction was demonstrated to be caused by hypoechogenic formations at Doppler-echocardiography and confirmed to be hydatic cysts at cardiac magnetic resonance. These cysts developed within the right ventricular wall and the septum, and caused hemodynamic instability.
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Affiliation(s)
- Cesare de Gregorio
- Department of Clinical and Experimental Medicine, Cardiology Unit, Messina University Hospital, Messina, Italy
| | - Giuseppe Ferrazzo
- Department of Clinical and Experimental Medicine, Cardiology Unit, Messina University Hospital, Messina, Italy
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19
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Lyazidi S, Abetti A, Abdellaoui A, El Adaoui A, Habbal R, Ettaoumi Y. Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation. Ann Med Surg (Lond) 2021; 66:102427. [PMID: 34123377 PMCID: PMC8175272 DOI: 10.1016/j.amsu.2021.102427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/18/2021] [Accepted: 05/22/2021] [Indexed: 11/23/2022] Open
Abstract
Introduction The hydatid cyst (HC) of the right ventricle (RV) is an extremely uncommon and a serious location that can cause sudden death following pulmonary embolism, obstruction of the valvular orifice or anaphylactic shock. Case presentation We report a case of a 14 years-old girl with a HC of the RV. Surgical excision of the HC under Cardiopulmonary bypass (CPB) was successful in managing this rare case. Clinical discussion Cardiac HC is extremely rare. It represents only 0.5–2% of all hydatid cases. However, RV location is very severe. It has a tendency to rupture intracavitarily and causes sudden death in 30% of cases. Its diagnosis is based on echocardiography, computed tomography scan and magnetic resonance imaging. The surgical treatment under CPB with anthelmintic therapy seems to improve the prognostic outcomes. Conclusion Cardiac HC must be always suspected in endemic countries, especially in patients with a family history of HC. Hydatid cyst of the right ventricle is an extremely uncommon location. Right ventricle location is very severe that can cause sudden death in 30% of cases. The optimal treatment is still based on surgery under cardiopulmonary bypass with anthelmintic therapy. Hydatid cyst of the right ventricle should be diagnosed and treated early to prevent sudden death.
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Affiliation(s)
- Selma Lyazidi
- Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Ayoub Abetti
- Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco.,Department of Cardiovascular Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco
| | - Amal Abdellaoui
- Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Ahmed El Adaoui
- Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Rachida Habbal
- Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Youssef Ettaoumi
- Department of Cardiovascular Surgery, Ibn Rochd University Hospital, Casablanca, Morocco
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20
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Dost B, Kartal C, Baris S, Karakaya D. Cardiac Hydatid Cyst Diagnosed Incidentally by Transesophageal Echocardiography After Cardiac Arrest. J Cardiothorac Vasc Anesth 2021; 36:344. [PMID: 34103215 DOI: 10.1053/j.jvca.2021.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 05/02/2021] [Accepted: 05/04/2021] [Indexed: 11/11/2022]
Affiliation(s)
- Burhan Dost
- Department of Anaesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Cansu Kartal
- Department of Anaesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Sibel Baris
- Department of Anaesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
| | - Deniz Karakaya
- Department of Anaesthesiology and Reanimation, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey
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21
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Prasad K, Kumar R, Halder V, Raju M, Negi SL, Naganur S. Multimodality imaging of an interventricular septum hydatid cyst. Egypt Heart J 2021; 73:23. [PMID: 33687569 PMCID: PMC7943659 DOI: 10.1186/s43044-021-00147-8] [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] [Received: 01/11/2021] [Accepted: 02/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cardiac hydatid over the interventricular septum is extremely rare. Echinococcus infests humans as an accidental host. Echocardiography usually clinches the diagnosis of cardiac hydatid. However, multimodality imaging including cardiac magnetic resonance (CMR) imaging, computed tomography (CT), and positron emission tomography (PET) helps in supporting the diagnosis and surgical planning. CASE PRESENTATION We present a 29-year-old male who presented with dyspnea and was found to have cardiac hydatid on the interventricular septum on echocardiography. CT and CMR clinched the diagnosis. CT pulmonary angiography showed extensive pulmonary thromboembolization and cavitary consolidation in lungs. PET showed no active uptake in cardiac hydatid. Post-surgical enucleation of the cyst his hypotension worsened and succumbed. CONCLUSION Cardiac hydatid has poor prognosis. Multimodality imaging helps in confirming the diagnosis and surgical planning.
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Affiliation(s)
- Krishna Prasad
- Department of Cardiology, Advanced Cardiac Centre, PGIMER, Chandigarh, India
| | - Rupesh Kumar
- Department of CVTS, Advanced Cardiac Centre, PGIMER, Chandigarh, India
| | - Vikram Halder
- Department of CVTS, Advanced Cardiac Centre, PGIMER, Chandigarh, India
| | - Muni Raju
- Department of Radiodiagnosis, PGIMER, Chandigarh, India
| | | | - Sanjeev Naganur
- Department of Cardiology, Advanced Cardiac Centre, PGIMER, Chandigarh, India.
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22
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Çankaya BY, Çolak A. Cystic echinococcosis involving the cardiac interventricular septum. Rev Soc Bras Med Trop 2021; 54:S0037-86822021000100815. [PMID: 33681920 PMCID: PMC8008895 DOI: 10.1590/0037-8682-0499-2020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 09/25/2020] [Indexed: 11/21/2022] Open
Affiliation(s)
| | - Abdurrahim Çolak
- Atatürk University, Department of Cardiovascular Surgery, Erzurum, Turkey
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23
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Mir H, McClure A, Thampinathan B, Chow C, Cusimano RJ, Bogoch II, Thavendiranathan P. Echocardiographic Features of Cardiac Echinococcal Infection. CASE (PHILADELPHIA, PA.) 2021; 5:26-32. [PMID: 33644510 PMCID: PMC7887517 DOI: 10.1016/j.case.2020.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Cardiac masses are a rare but important finding requiring detailed investigation. Echocardiography is a first-line imaging modality. CT and MRI together allow precise structural and tissue characterization. Surgical removal is a potentially curative treatment for cardiac hydatid cysts.
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Affiliation(s)
- Hassan Mir
- Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.,Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | - Andrew McClure
- Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
| | - Babitha Thampinathan
- Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
| | - Cindy Chow
- Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
| | - Robert J Cusimano
- Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada
| | - Isaac I Bogoch
- Divisions of Infectious Diseases and General Internal Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada
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24
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Wegner B, Meel R, Nell T, Nqwata L, Wong M. Hydatid disease of the interventricular septum: Echocardiographic and computed tomography findings. SA J Radiol 2020; 24:1986. [PMID: 33391841 PMCID: PMC7756595 DOI: 10.4102/sajr.v24i1.1986] [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: 09/08/2020] [Accepted: 09/29/2020] [Indexed: 11/21/2022] Open
Abstract
Hydatid disease (HD) is prevalent in South Africa, with cardiac HD being a rare but important manifestation to recognise and diagnose. An incidental finding on computed tomography (CT) of the chest in a patient with pulmonary HD prompted further multimodality imaging, which confirmed the presence of cardiac HD involving the interventricular septum. This case report focuses on imaging findings related to cardiac HD, as demonstrated by the CT of the chest and two- and three-dimensional transoesophageal echocardiography. Multimodality imaging is essential to assist in making a diagnosis and providing a detailed assessment of patients with cardiac HD.
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Affiliation(s)
- Brett Wegner
- Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Ruchika Meel
- Division of Cardiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Division of Cardiology, Faculty of Health Sciences, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
| | - Tamarin Nell
- Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
- Department of Diagnostic Radiology, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
| | - Lamla Nqwata
- Division of Pulmonology, Department of Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
- Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Michelle Wong
- Division of Pulmonology, Department of Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
- Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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25
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de Matteis GM, Arcari L, Mustilli M, Fina P, Stingone AM, Preziosi P, Ferraiuolo G. Multimodality Imaging for Diagnosis and Characterization of a Cardiac Hydatid Cyst. J Cardiovasc Echogr 2020; 30:119-120. [PMID: 33282653 PMCID: PMC7706379 DOI: 10.4103/jcecho.jcecho_14_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 04/03/2020] [Accepted: 05/13/2020] [Indexed: 11/06/2022] Open
Abstract
Here, we report the case of a young patient admitted to the emergency department because of abdominal pain. Computed tomography revealed a mass within her right heart. Through serial multimodality imaging testing, including computed tomography, three-dimensional (2D)- and three-dimensional echocardiography, as well as cardiac magnetic resonance, the diagnosis of cardiac involvement in the course of Echinococcus granulosus infection was hypothesized.
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Affiliation(s)
| | - Luca Arcari
- Cardiology Unit, Sandro Pertini Hospital, Rome, Italy.,Department of Clinical and Molecular Medicine, Cardiology Unit, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | | | - Priscilla Fina
- Unità Operativa Complessa Diagnostica Per Immagini, Ospedale "Sandro Pertini," Rome, Italy
| | | | - Paolo Preziosi
- Unità Operativa Complessa Diagnostica Per Immagini, Ospedale "Sandro Pertini," Rome, Italy
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26
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Lahmidi I, Boutaybi M, El Ouazzani J, Elouafi N, Bazid Z. Isolated Cardiac Hydatid Cyst Causing Complete Heart Block. Cureus 2020; 12:e11945. [PMID: 33425524 PMCID: PMC7785471 DOI: 10.7759/cureus.11945] [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] [Indexed: 12/03/2022] Open
Abstract
Cardiac hydatidosis is an unusual disease and the interventricular septum is infrequently involved. It can cause various complications because of rupture and embolization. Interventricular septal cysts, may in rare conditions, induce symptoms corresponding to compression of the conduction pathway such as atrioventricular block. In this report, we present an uncommon case of cardiac echinococcus located in the basal part of the interventricular septum presenting as complete heart block managed by medical treatment and implantation of a permanent pacemaker.
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27
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Abstract
Cystic echinococcosis caused by infection with the larvae form of Echinococcus granulosus remains highly endemic and constitutes a public health concern in some regions of the world. In this case report, we present a rare children case of interventricular hydatid cyst with a size of approximately 5 cm and its successful treatment.
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28
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Ibrahim FF, Rubay D, Yi S, Barqawi Z, Abed AN. Surgical Management of Cardiac Hydatid Cyst and the Residual Intramural Ectocyst. Cureus 2020; 12:e9829. [PMID: 32953338 PMCID: PMC7495958 DOI: 10.7759/cureus.9829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
The cardiac hydatid cyst (HC) is a rare pathology and mostly is endemic in livestock raising countries. Patients do not have a specific presentation so it is mainly a diagnosis based on imaging. Finding HC anywhere in the body warrants looking for another hydatid in other organs. This is a case report of a young male who presented with nonspecific symptoms and during diagnostic workup, it happened that he has combined hepatic and cardiac HCs. The cardiac cyst was located intramurally in the interventricular septum and expanding down mostly to the left side of the diaphragmatic surface of the heart and partly crossing intramurally to the diaphragmatic surface of the right ventricle. Emergency open-heart surgery was performed; the endocyst was removed while intramural ectocyst was drained to prevent potential future residual space.
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Affiliation(s)
- Firas F Ibrahim
- Cardiac Surgery, Iraqi Center of Heart Diseases, Baghdad, IRQ
| | - David Rubay
- Trauma and Surgical Critical Care, University of Florida College of Medicine, Gainesville, USA
| | - Slee Yi
- Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA
| | - Zuhair Barqawi
- Surgery, University of Colorado School of Medicine, Aurora, USA
| | - Ali N Abed
- Cardiac Surgery, Iraqi Center for Heart Diseases/Medical City Teaching Complex, Baghdad, IRQ
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29
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Aljaber NN, Alshoabi SA, Qurashi AA, Daqqaq TS. Cardiac hydatid cyst in the right ventricle: An unusual case at a rare site. J Taibah Univ Med Sci 2020; 15:249-252. [PMID: 32647522 PMCID: PMC7336018 DOI: 10.1016/j.jtumed.2020.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Revised: 02/14/2020] [Accepted: 02/19/2020] [Indexed: 12/29/2022] Open
Abstract
Hydatid disease is a parasitic infection by the larval stage of the tapeworm Echinococcus granulosus. It affects liver, lungs and rarely other organs. Medical imaging provide the basis for diagnosis. This case report describes an extremely rare location of cardiac hydatid cyst in the right ventricle of the heart. We describe a 23-year-old woman who presented with shortness of breath and productive cough. Laboratory investigations showed marked eosinophilia and anemia. Chest radiography and abdominal ultrasonography were unremarkable. Cardiac computed tomography (CT) identified two well-defined fluid densities in the right ventricle without contrast enhancement. A transthoracic echocardiography (TTE) showed two cystic lesions in the right ventricular cavity that was attached to the interventricular septum. Hydatid cyst was the most likely diagnosis followed by the possibility of a congenital cardiac cyst. An open-heart surgery with cardiac cystectomy was performed. Post-operative analysis of the resected specimens showed multiple hydatid cysts with living scolices of Echinococcus granulosus. The patient recovered uneventfully and was discharged on oral albendazole.
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Affiliation(s)
- Nouradden N Aljaber
- Department of Cardiology, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen
| | - Sultan A Alshoabi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA
| | - Abdulaziz A Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA
| | - Tareef S Daqqaq
- Department of Radiology, Faculty of Medicine, Taibah University, Almadinah Almunawwarah, KSA
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