Cardiac Hydatid Cyst Research Articles

Les kystes hydatiques cardiaques à propos de 17 cas opérés

Cardiac hydatid cyst is a rare parasitic disease. The purpose of this study was to describe the clinical, pathological features and the outcome of the surgical treatment of cardiac hydatid disease in our unit over a twenty-year period. MethodsBetween May 1994 and May 2014, seventeen cases of cardiac hydatid cysts were operated at our unit. Overall, twelve patients were male (mean age 25±13years). All patients were complaining of dyspnea and 71% presented with chest pain. The diagnosis, based on histological examination, was suspected on echocardiography and computed tomography of chest. ResultsOur study revealed five possible locations, which were in decreasing order of frequency: left ventricle, interventricular septum, right ventricle, left atrium and pulmonary artery. The surgical procedure was a controlled puncture and aspiration of the cyst content, with cystectomy (69%), or pericystectomy (31%). The resulting cavity left open in 6 cases (37.5%) or carefully closed in 10 (62.5%). Hospital mortality was 11.8% (n=2). Morbidity was marked by conduction abnormalities (n=2), bleeding and hematoma of the residual cavity that required surgical treatment (n=3). Eleven patients were followed with a mean period of 40.5±19.4 months. At follow-up, neither late deaths nor recurrence have occurred. ConclusionCardiac hydatid cyst is a serious disease whose treatment is surgical. Cystectomy and pericystectomy remain the two surgical techniques able to offer good chance of cure with acceptable morbidity and mortality.

Echinococcosis of the heart at the distal interventricular septum: A rare entity

Cystic hydatid disease results from infection with the larval or adult form of the Echinococcus granulosus tapeworm and is endemic in India. Cardiac involvement is rarely seen in patients with hydatid disease, and described in less than 2% of cases. Involvement of the interventricular septum is even rarer. Herein, we report our surgical treatment of a cardiac hydatid cyst in the interventricular septum which was successfully treated with surgery and albendazole therapy.

Hydatid Cyst of the Heart.

Cystic hydatid disease is responsible for the loss of 1 to 3 million disability-adjusted life years every year. Infestation of the heart, though rare, can result in serious complications if left untreated. We retrospectively collected information on 19 patients with cardiac hydatid cyst admitted at the Center for Cardiac Surgery of Ibn Al-Bitar Hospital in Baghdad from July 2007 to July 2011 who were either in need of a cardiac surgery for treating hydatid cysts or presented with emergency conditions. Nine (47%) patients presented with left-sided heart failure and mitral valve dysfunction, 5 (26%) patients had hydatid cysts in the pericardium, 3 (16%) patients had hydatid cyst in the right ventricle and presented with right-sided heart failure, and 2 (11%) patients who presented with cardiac arrhythmias had infestation in the interventricular septum. Removal of cysts following open-heart surgery was successful and was followed by the use of mebendazole or albendazole for 5 years. We conclude that cardiac hydatid cyst that leads to various cardiac symptoms can be successfully managed and should be considered as a diagnostic possibility in patients with cardiac symptoms in endemic areas.

Case Report: Cardiac Hydatid Cyst

Hydatid disease is one of the most important and widespread parasitic infection that cause significant health problem in undeveloped and developing countries. There main subtypes Echinococcus granulosus, E multilocularis, and E vogeli which can cause cystic echinococcosis in humans as intermediated host. The most common organ involved is the liver (50% to 70%) and the lung (20% to 30% of cases) in humans. Cardiac involvement in hydatid disease is rare (0.5% to 2% of all cases). We are presenting the case of cardiac hydatid cyst.

Atrial tachycardia, atrioventricular conduction disturbance and right heart failure years after removal of a cardiac hydatid cyst

Atrial tachycardia, atrioventricular conduction disturbance and right heart failure years after removal of a cardiac hydatid cyst

CARDIAC HYDATID CYST : A CASE REPORT

The larval and adult form of Echinococcus granulosus tapeworm causes cystichydatid disease. Cardiac echinococcosis is a rare but potentially very seriouscomplication of hydatid disease. It is potentially fatal pathology that may causevalvular dysfunction, conduction disturbances or may lead to congestive heartfailure, rarely mimics acute coronary syndrome. Cardiac involvement is rare andaccounts for 0.5-2% of all hydatid disease and involvement of the interventricularseptum is rare.We report surgical treatment of a large cardiac hydatid cyst in the interventricularseptum. In cases of an interventricular cardiac hydatid cyst, the combination ofsurgical resection, washout of the remaining cavity with hypertonic salinesolution, and albendazole therapy typically yields excellent results. Key Words: Hydatid Disease, Cardiac Hydatid Cyst, Albendazole,Echinococcosis.

Primary cardiac hydatid cyst presenting as noncompaction cardiomyopathy

We report a case of cyst was initially labeled as left ventricular noncompaction cardiomyopathy. An accurate diagnosis is essential to establish the most effective treatment strategy. In particular, echocardiographic examination assists in identifying the correct diagnosis. In this case, two-dimensional and three-dimensional echocardiography and computed tomography were used for definitive diagnosis of cardiac hydatid cyst.

Cardiac Echinococcosis: A Single-Centre Study with 25 Patients

In this study, we aimed to analyse patients who underwent surgery for cardiac echinococcosis in our department. Between June 2005 and June 2013, 25 patients (15 male, 10 female) underwent cardiac hydatid cyst operation. The mean patient age was 33.4±12.6 (15-75) years. The most common presenting symptom was dyspnoea. Cysts were located only in the heart in 16 patients, lung in 4 patients, liver in 4 patients, and brain with lung involvement in 1 patient. Concomitant cardiac and pulmonary surgery was performed in 2 patients. The cardiac hydatid cysts were intracavitary in 11 patients and extracavitary in 14 patients. We used cardiopulmonary bypass in all but 1 patient, who presented with an extracavitary cyst. In 3 patients, surgery was performed with cardiopulmonary bypass without cross-clamping of the aorta. There were no mortalities in the early follow-up period. Cardiac echinococcosis is a rare but fatal disease and should be surgically treated when diagnosed. There is some controversy about how echinococcosis spreads to the heart (via haematogenous spread or direct extension from adjacent structures). According to our study, we think that haematogenous spread is the main method of the distribution of cardiac echinococcosis, and the direct extension method from adjacent structures must be questioned.

Invasive pericardial hydatid cyst: Excision of multiple huge cysts

Cardiac hydatid cyst is rare even in endemic countries, and poses a therapeutic challenge due to varying presentation and unpredictable pre-, peri-, and postoperative complications. We herein present a case of multiple, multifocal, huge pericardial hydatid cyst, with invasion into the left ventricle and main pulmonary artery in a young male patient, presented with atypical chest pain.

The Multimodality Imaging of Primary Cardiac Hydatid Cyst Located in the Right Ventricular Free Wall

Mini‐AbstractPrimary cardiac hydatid cyst seen in the right ventricle is an infrequent appearance of disease. An immediate and precise identification of cystic lesion is critical, especially if a surgery is planned. In this context, the multimodality imaging can give precious knowledge on both the lesion and its relation to other cardiac and extracardiac structures and thereby can guide the surgery.

A giant cardiac hydatid cyst presenting with chest pain and ventricular tachycardia in a pregnant woman undergoing cesarean section

Cyst hydatid disease is an infectious disease caused by development of the larval form of Echinococcus granulosus in humans. Cardiac involvement of this disease is a rare condition, and if present, it is most commonly located in the left ventricle. Interventricular septal involvement is observed only in 4% of these cases. Herein, we report a case of cyst hydatid located at interventricular septum causing chest pain and ventricular tachycardia during cesarean section.

Cardiac hydatid cyst presenting as double-chambered left ventricle

A 55-year-old woman who lived in a village was admitted with dyspnea that had begun over 3 months prior. Initial examination was unremarkable. Chest x-ray and 12-lead electrocardiogram were normal. Transthoracic e c h o c a r d i o g r a p h y (TTE) was performed. Two-dimensional and 3-dimensional echocardiogram showed presence of a large intramural cystic mass attached to the posterolateral wall of the left ventricular cavity. No significant blood flow into the cyst was observed on Doppler echocardiography (Figures). Subsequently, a serological test for specific Echinococcus antibodies was performed, the result of which was consistent with Echinococcus granulosus. Ultimately, the patient was referred to cardiac surgery for resection of cyst, with diagnosis of cardiac cyst hydatid. In spite of advice, the patient refused surgical treatment. Albendazole 800 mg/day was prescribed. Echo monitoring every 6 months was recommended. Hydatid cysts may locate in any organ and present with various non-specific symptoms. Therefore, cardiac cyst hydatid should always be kept in mind when patients from endemic areas present with cardiac or paracardiac cystic masses and complain of non-specific cardiac symptoms. 350

Asymptomatic isolated cardiac hydatid cyst with pulmonary artery extension

Introduction: Hydatid disease is a kind of parasitic infection which is caused by Echinococcus granulosus . It is commonly characterized by cystic formation. Almost all organs can be affected by the infection, however, cardiac and especially right ventricular hydatid cystic involvement, is very rare. Also pulmonary artery extension occurs rarely. Case Report: We report herein imaging findings of a -year-old asymptomatic male patient with cardiac hydatid cyst and pulmonary artery extension. He contour lobulation of paracardiac region in the chest. A film was the only clue for making diagnosis. Conclusion: Imaging modalities are heplful in detecting the pathology.

Isolated myocardial hydatid cyst: Managed with total curative excision

Hydatid disease is still prevalent in developing countries, and isolated cardiac hydatid cysts are the rarest presentation. We report a 40-year-old nondiabetic, nonhypertensive female who presented with low-grade fever for 2 months shortness of breath and orthopnea for 2 weeks. Transthoracic echocardiography revealed a large, round cystic lesion with multiple daughter cysts without any obvious intraluminal detached membranes with mass effect on the left ventricular outflow tract. After total excision, residual tissue was closed with Teflon patch. Germinative membrane and hundreds of daughter cysts were seen. Following total excision of the cyst from myocardium, myocardial cavity was washed thoroughly with 10% Betadine solution. Pathological examination confirmed the diagnosis of hydatid cyst. Preoperatively started albendazole was continued for 4 weeks even after the operation. On follow-up after 4 weeks, the patient is doing well and cardiac imaging showed normal contours of the heart.

Surgery of Cardiac and Multi-Organ Hydatidosis Involvement: Case Report and Review of the Literature

Multivisceral location of cardiac hydatid cyst is exceptional. A 37 year-old female, with past medical history of surgery of hydatid cyst of the right lung, underwent a systematic radiological follow-up. CT scan defined a cystic mass of the heart, of the left lung, the liver, and cysts in the two breasts. So, the patient was operated under cardiopulmonary bypass via a sternotomy. Intra-operative examination revealed a cyst of the inferior wall of the left ventricle. The cysts of the heart, the lung, and the breasts were excised in a single session, and the patient was discharged on the fourth postoperative day without symptoms. The cyst of the liver was operated one month later.

Multiple Lung Hydatid Cysts and Cardiac Hydatid Cyst: A Rare Presentation

Hydatid cysts are commonly present in liver. Cardiac hydatid cysts are very rare and represent less than 2% of all cases of hydatidosis. They can occur as widespread infection or as an isolated event. We present here a case with multiple lung hydatid cysts and a single cardiac hydatid cyst involving the apical antero-interventricular septum. A brief overview of disease and the investigations to establish the diagnosis is discussed here with introduction.Bangladesh Journal of Medical Science Vol.14(4) 2015 p.393-395

Giant cardiac hydatid cyst: case presentation with radiologic survey and review of literature

Hydatid disease is mostly localised to liver and lungs. Cardiac involvement is a rare but potentially very serious complication of echinococcosis, constituting only 0.5–2% of all cases of hydatidosis. Cardiac hydatid cyst is a diagnostic and therapeutic challenge on account of highly variable clinical presentations and non-specifi c symptoms and often numerous unpredictable complications. We present a case report of 20-year-old man who was admitted to our hospital with chief complaint of palpitations and shortness of breath. Using baseline investigations like ECG, transthoracic echocardiography, ultrasonography, non-contrast computed tomography and magnetic resonance imaging, a giant multiloculated cystic lesion (58.4 mm × 43.3 mm) was diagnosed in the apex of left ventricle. Serologic tests (hydatid cyst antibody) confi rmed Echinococcus infection. Thoracic computed tomography with intravenous contrast was not performed because patient reported history of allergy to contrast. This case report is unusual as it is concerned with the description of a rare disease entity (large cardiac hydatid cyst). Its radiological appearances are discussed for early diagnosis and better understanding of the disease, together with a review of the literature.Journal of Kathmandu Medical CollegeVol. 3, No. 4, Oct.-Dec., 2014Page:

A huge cardiac hydatid cyst: An unusual cause of chest pain revealing multivisceral hydatidosis in a young woman

Hydatid disease remains endemic in some parts of the world. Cardiac hydatidosis with multivisceral involvement is uncommon but potentially fatal. We report the case of a 36-year-old Tunisian woman admitted with chest pain and T-wave inversion in the inferior leads on her electrocardiogram. Transthoracic echocardiography revealed a large hydatid cyst in the epicardium throughout the left ventricle. Thoraco-abdominal computerized tomography (CT) scan showed several hydatid cysts in the left lung, the liver, and in both breasts.After one week of albendazole treatment, surgical excision of the cardiac cyst on cardiopulmonary bypass was carried out as well as excision of the pulmonary and breast cysts. The postoperative course was uneventful and albendazole treatment was continued for six months. Though hydatid cardiac involvement is very rare, it should be considered in the differential diagnosis of atypical chest pain in young patients, especially those living in regions where hydatid disease is endemic.

Large isolated hydatid cyst of the interventricular septum.

A 54-year-old woman was referred to our echocardiography clinic for long-standing hypertension. She did not have any chest pain, dyspnoea, fever or weight loss. She was on losartan of dose 25 mg twice daily. She did not have history of contact with livestock or pet animals. Electrocardiogram showed T-wave inversion in V1–V3 leads. On transthoracic echocardiography, there was a large mass in the interventricular septum (Fig. 1, Videos 1 and 2). Computerised tomography (CT) of the chest showed a cystic mass (85×65 mm) over the interventricular septum with a rim-like calcification of its wall consistent with cardiac hydatid cyst (Fig. 2). The lungs appeared normal and free of disease. CT images of the brain and the abdomen were otherwise normal with no cerebral or hepatic involvement. The patient underwent surgery and pathological examination was consistent with echinococcal hydatid cyst (Fig. 3). She made full recovery following surgery (Video 3). Figure 1 A transthoracic echocardiographic image from subxiphoid window showing the large mass in interventricular septum. Figure 2 Computed tomography (CT) scan image of the heart showing the large interventricular hydatid cyst with calcified borders. Figure 3 Microscopic examination of the mass is compatible with hydatid cyst. Video 1 Transthoracic echocardiogram from subxiphoid showing the large mass in the interventricular septum. Download Video 1 via http://dx.doi.org/10.1530/ERP-14-0075-v1 Download Video 1

Isolated Pericardial Hydatid Cyst

Cardiac hydatid cyst is an uncommon disease, mostly involving the myocardium. Involvement of the pericardium or isolated pericardial hydatid cysts are extremely rare and therefore can mimic other pericardial cystic diseases. Herein we present the radiological and surgical findings of an asymptomatic isolated pericardial hydatid cyst.