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Durmaz A, Düzyol Ç, Gür S, İlkeli E, Omay O. Pediatric hydatid cyst with ventricular aneurysm and surgical treatment with dor procedure, case report. J Card Surg 2022; 37:5584-5587. [PMID: 36335619 DOI: 10.1111/jocs.17132] [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: 09/29/2022] [Accepted: 10/27/2022] [Indexed: 11/08/2022]
Abstract
BACKGROUND Cardiac involvement of hydatid cyst disease (HCD) is a rare presentation but may lead to life-threatening complications such as cyst rupture and should be treated surgically. METHODS A 10-year-old male patient with cranial and complicated cardiac HCD lesions that caused lower extremity peripheral arterial occlusion and aneurysmatic dilatation in the left ventricular apex is presented. RESULTS Although the patient was in the pediatric age group, the Dor procedure was successfully applied to preserve the ventricular geometry. The Dor procedure for a ventricular aneurysm caused by a cardiac hydatid cyst (CHC) was rarely applied in the pediatric age group. CONCLUSION In conclusion, this case differs from other CHCs previously reported in the literature due to the advanced stage of the disease, atypical clinical presentation, and rare complications despite the young age of the case. The surgical method used in treating the patient makes the subject more interesting.
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Affiliation(s)
- Ayşegül Durmaz
- Department of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Çağrı Düzyol
- Department of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Sibel Gür
- Department of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Ekin İlkeli
- Department of Cardiovascular Surgery, Düzce Atatürk Devlet Hastanesi, Düzce, Turkey
| | - Oğuz Omay
- Department of Cardiovascular Surgery, Kocaeli University Medical Faculty, Kocaeli, Turkey
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3
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Cardiac hydatid cyst in the interventricular septum: A literature review. Int J Infect Dis 2019; 88:120-126. [DOI: 10.1016/j.ijid.2019.09.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 08/27/2019] [Accepted: 09/02/2019] [Indexed: 11/17/2022] Open
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4
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Joseph AG, Lahiri R, Joseph A, Sengupta G. Giant hydatid cyst of interventricular septum of heart. Indian J Thorac Cardiovasc Surg 2019; 36:81-84. [PMID: 33061102 DOI: 10.1007/s12055-019-00867-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 08/13/2019] [Accepted: 08/14/2019] [Indexed: 10/26/2022] Open
Affiliation(s)
| | - Raja Lahiri
- Department of Cardiothoracic & Vascular Surgery, AIIMS Rishikesh, Rishikesh, 249203 India
| | - Ajil Joseph
- Department of CTVS, IPGMER and SSKM Hospital, Kolkata, India
| | - Gautam Sengupta
- Department of CTVS, IPGMER and SSKM Hospital, Kolkata, India
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5
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Hydatid cyst of the interventricular septum - A rare cause of heart block. Indian Pacing Electrophysiol J 2019; 19:79-80. [PMID: 30660635 PMCID: PMC6450826 DOI: 10.1016/j.ipej.2019.01.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2018] [Accepted: 01/11/2019] [Indexed: 11/24/2022] Open
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6
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Martín-Izquierdo M, Martín-Trenor A. [Hydatidosis simulating a cardiac tumour with pulmonary metastases]. CIR CIR 2016; 84:318-23. [PMID: 26738651 DOI: 10.1016/j.circir.2015.03.003] [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: 11/24/2014] [Accepted: 04/08/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND The presence of multiple symptomatic pulmonary nodules and one cardiac tumour in a child requires urgent diagnosis and treatment. Until a few decades ago, the diagnosis of a cardiac tumour was difficult and was based on a high index of suspicion from indirect signs, and required angiocardiography for confirmation. Echocardiography and other imaging techniques have also helped in the detection of cardiac neoplasms. However, it is not always easy to make the correct diagnosis. CLINICAL CASE The case is presented of a 12 year-old boy with pulmonary symptoms, and diagnosed with a cardiac tumour with lung metastases. The presence of numerous pulmonary nodules was confirmed in our hospital. The echocardiogram detected a solid cardiac nodule in the right ventricle. Magnetic resonance imaging confirmed the findings and the diagnosis. Puncture-aspiration of a lung nodule gave the diagnosis of hydatidosis. He underwent open-heart surgery with cardiac cyst resection and treated with anthelmintics. The lung cysts were then excised, and he recovered uneventfully. DISCUSSION This child had multiple pulmonary nodules and a solid cardiac nodule, and was suspected of having a cardiac tumour with pulmonary metastases. However, given the clinical history, background and morphology of pulmonary nodules, another possible aetiology for consideration is echinococcosis. The clinical picture of cardiac hydatidosis and its complications is highly variable. The clinical history is essential in these cases, as well as having a high index of suspicion. CONCLUSION Hydatidosis should be included in the differential diagnosis of a solid, echogenic, cardiac nodule. The treatment for cardiopulmonary hydatid cysts is surgical, followed by anthelmintics.
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Affiliation(s)
- Marta Martín-Izquierdo
- Servicio de Pediatría y Puericultura, Clínica San Miguel, Igualatorio Médico Quirúrgico de Navarra, Pamplona, España
| | - Alejandro Martín-Trenor
- Departamento de Cardiología y Cirugía Cardíaca, Sección de Cirugía Cardíaca, Clínica Universidad de Navarra, Pamplona, España.
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7
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Ohri S, Sachdeva A, Bhatia M, Shrivastava S. Cardiac hydatid cyst in left ventricular free wall. Echo Res Pract 2015; 2:K17-9. [PMID: 26693324 PMCID: PMC4676447 DOI: 10.1530/erp-14-0112] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 01/26/2015] [Indexed: 11/08/2022] Open
Abstract
We report a rare case of a cardiac hydatid cyst that was incidentally found during routine work up for a redo-CABG and was picked up on echocardiography and confirmed by magnetic resonance imaging and, after successful removal, further confirmed by histopathology. The report emphasizes the importance of early and urgent surgery for such cardiac hydatid cysts whenever discovered to prevent fatal and unexpected death. Cardiac hydatidosis is a most infrequent type, in comparison with hydatidosis of the liver (65%) and lung (25%).
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Affiliation(s)
- Shreya Ohri
- First Cardiology Clinic, University Hospital 'Dr G. Stranski' Pleven , Street Georgi Kochev 8A, Pleven, 5800 , Bulgaria
| | | | - Mona Bhatia
- Fortis Escorts Heart Institute , Okhla, New Delhi , India
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8
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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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Giant cardiac hydatid cyst in the interventricular septum protruding to right ventricular epicardium. Indian Heart J 2012; 65:81-3. [PMID: 23438618 DOI: 10.1016/j.ihj.2012.12.014] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 08/30/2012] [Accepted: 12/19/2012] [Indexed: 11/22/2022] Open
Abstract
Cardiac hydatid cyst is a rare condition, and the location of a hydatid cyst in the interventricular septum is exceptional. A 54-year-old female was admitted to our hospital with complaints of chest pain, shortness of breath and malaise. Transthoracic echocardiography defined a cystic mass lesion of 50 × 59 mm originating from apex of the heart protruding into and compressing the interventricular septum. The cyst was excised surgically and the patient was discharged on the 8th postoperative day without symptoms. In our case, localization of the cystic mass was within interventricular septum which is an uncommon site. It limited both ventricular volumes significantly. In addition, this cyst was extensively protruding to the right ventricular epicardium.
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10
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Sinha A, Nanda NC, Panwar RB, Kasliwal RR, Chauhan N, Beniwal S, Panwar SR, Khanna D, Bodiwala K, Mehmood F, Upendram S, Vengala S. Live Three-Dimensional Transthoracic Echocardiographic Assessment of Left Ventricular Hydatid Cyst. Echocardiography 2009; 21:699-705. [PMID: 15546370 DOI: 10.1111/j.0742-2822.2004.04005.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
We report an adult patient in whom live three-dimensional transthoracic echocardiography (3DTTE) complemented two-dimensional transthoracic echocardiography (2DTTE) in making a definitive diagnosis of a hydatid cyst located in the left ventricular cavity. The parent hydatid cyst, as well as the daughter cysts, contained within it could be delineated by both 2DTTE and live 3DTTE. However, the tertiary or granddaughter cysts originating from the daughter cysts as well as great-granddaughter cysts budding from tertiary cysts could be visualized only when the live 3DTTE data sets were cropped and sectioned sequentially using multiple cutting planes. In addition, apparent intrinsic mobility of some of the tertiary cysts implying viability was detected only by 3DTTE.
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Affiliation(s)
- Ashish Sinha
- University of Alabama at Birmingham, Division of Cardiovascular Disease, Birmingham, Alabama 35249, USA
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11
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Hydatid cyst in the right ventricular outflow tract: Successful surgical outcome of a rare entity. Indian J Thorac Cardiovasc Surg 2009. [DOI: 10.1007/s12055-009-0011-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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12
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Sevimli S, Aksakal E, Erkut B, Ceviz M, Türkyilmaz A, Karakelleoglu S, Senocak H. Three-dimensional imaging of a comma-shaped right ventricular hydatid cyst. Echocardiography 2009; 26:481-4. [PMID: 19382948 DOI: 10.1111/j.1540-8175.2008.00880.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
We report herein a hydatid cyst of the right ventricle and its two- and three-dimensional echocardiographic appearance.
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Affiliation(s)
- Serdar Sevimli
- Ataturk University, Medical School Hospital, Department of Cardiology, Erzurum, Turkey.
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13
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Ilic S, Parezanovic V, Djukic M, Kalangos A. Ruptured hydatid cyst of the interventricular septum with acute embolic pulmonary artery complications. Pediatr Cardiol 2008; 29:855-7. [PMID: 18175164 DOI: 10.1007/s00246-007-9176-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2007] [Revised: 11/02/2007] [Accepted: 11/21/2007] [Indexed: 12/16/2022]
Abstract
Hydatid cysts located in the interventricular septum are especially rare but with the high risk for intracavitary rupture. We report a patient with acute pulmonary embolism caused by an isolated, ruptured hydatid cyst on the right side of the interventricular septum. Early diagnosis was made by echocardiography and positive serology. Pulmonary artery embolism was confirmed by angiography and the patient was operated on. Embolectomy was performed by removing multiple fragments of ruptured endocyst from the left pulmonary artery, followed by surgical closure of a cyst cavity. Prompt diagnosis and an appropriate surgical treatment prevented a potentially fatal outcome.
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Affiliation(s)
- Slobodan Ilic
- Department of Cardiothoracic Surgery, University Children's Hospital, Tirsova 10, Belgrade, Serbia and Montenegro.
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14
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Nurkalem Z, Atmaca H, Kayacioglu I, Uslu N, Gorgulu S, Eren M. Hydatid disease involving the left ventricle: A case of unusual combination. Int J Cardiol 2006; 112:e30-2. [PMID: 16859775 DOI: 10.1016/j.ijcard.2006.03.068] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2005] [Revised: 03/02/2006] [Accepted: 03/11/2006] [Indexed: 10/24/2022]
Abstract
Hydatid cyst can be found in many organ systems, but is rarely in the heart. Echocardiography is an important tool in diagnosing cardiac involvement of a hydatid cyst. A history of extracardiac hydatid cyst should raise suspicion whether there is cardiac involvement. We report a case of spinal hydatid cyst with left ventricular hydatid cyst, yet without any hepatic or pulmonary involvement.
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15
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Jiménez Casso S, Puente Sánchez MC, Fernández Pineda L, Palmeiro Uriach A. [Solid cardiac mass due to hydatidosis]. An Pediatr (Barc) 2005; 62:383-5. [PMID: 15826571 DOI: 10.1157/13073256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Acartürk E, öZeren A, Koç M, Yaliniz H, Biçakci S, Demir M. Left ventricular hydatid cyst presenting with acute ischemic stroke: case report. J Am Soc Echocardiogr 2004; 17:1009-10. [PMID: 15337971 DOI: 10.1016/j.echo.2004.04.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Cardiac hydatid cysts are rarely seen. The presentation of an acute stroke secondary to embolization from a cardiac hydatid cyst is also rare. We report a young boy with left ventricular hydatid cyst who presented with acute ischemic stroke.
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Affiliation(s)
- Esmeray Acartürk
- Department of Cardiology, Cukurova University, School of Medicine, Adana, Turkey.
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Yilik L, Ergüneş K, Yetkin U, Ali G. Synchronized coronary revascularization and multiple cardiac cysthydatid operation. Heart Lung 2004; 33:42-5. [PMID: 14983138 DOI: 10.1016/j.hrtlng.2003.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Cardiac cysthydatid is rare pathology and is seen in 0.5 to 2% of echinococcal infections. It is found in the left ventricle most frequently and then in the right ventricle. We present a case with a ruptured cysthydatid at the right atrium's interatrial septum and multiple cysthydatids localized at the outer surface of the left ventricle's apex, which necessitated a synchronized coronary revascularization with our diagnosis and surgical procedure modalities. Our patient was a 61-year-old man with complaints of fever, dyspnea, tachycardia and chest pain, which began 2 months before admittance. An echocardiography in our clinic revealed a 4.7 x 1.7 centimeter, pediculled, going in and out to tricuspidal inflow, cystic mass adherent to the interatiral septum in the right atrium, which prompted immediate hospitalization. He was in New York Heart Association Class II. His electrocardiography (EKG) showed ischemia at inferior and lateral surfaces, so we performed a coronary angiography and determined a severe stenosis at the proximal part of the left anterior descending artery. His EKG showed ischemia at the inferior and lateral surfaces, so we performed a coronary angiography and determined a severe stenosis at the proximal part of the left anterior descending artery. His preoperative biochemical parameters were normal, and cysthydatid serology tests were negative. With these results,l we planned a synchronized surgical procedure for coronary artery disease with multiple cardiac cysthydatids. During operation, after the right atriotomy, a fragile cystic mass with a ruptured image and dimensions of 5 x 2 x 2 centimeters, originating from the interatrial septum and in a conglomerate form, was resected and extirpated. The left atrium was not involved. Then, 3 masses with dimensions of 2 x 2 centimeters, which were not diagnosed with the echocardiogram, at the epicardial surface of the left ventricle apex were excised. The defected part of the left ventricle was repaired with teflon felt supports for rupture prophylaxis. Then, a left internal mammary artery graft, which was prepared at the beginning of the operation, was anastomosed to LAD. The patient didn't have any additional problem during the postoperative period, and he was discharged at 1 week after surgery. To avoid recurrence, the patient was prescribed albendazole as a prophylaxis for the duration of 2 months. Histopathology confirmed the diagnosis of cysthydatid. Patients with cardiac cysthydatid can be asymptomatic or can cause minimal nonspecific symptoms for years. The condition can be lethal if not diagnosed and treated. The primary treatment for cysthydatid is surgery. Echocardiography is an important diagnostic method for cysthydatid. Serological tests can produce negative results if the immune responses of the patient is not sufficient, so it must be remembered in the endemic places for echinococcus.
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Affiliation(s)
- Levent Yilik
- Izmir Ataturk Education and Research Hospital, Department of Cardiovascular Surgery, Izmir, Turkey
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Gürbüz A, Tetik O, Yilik L, Emrecan B, Ozsöyler I, Ozbek C. Cardiac involvement of hydatid disease. Gen Thorac Cardiovasc Surg 2003; 51:594-8. [PMID: 14650589 DOI: 10.1007/bf02736699] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Echinococcosis is a serious health issue occurring in some geographical region of the world. Cardiac involvement is rare and early diagnosis and prompt surgical intervention are critical. SUBJECTS AND METHODS Six patients with cardiac hydatid cysts underwent surgical treatment in our institution between April, 1996 and March, 2002. Five of the patients were female and one was male. Average age was 40+/-5 years with a range of 19 to 72 years. Cysts were located in the right ventricular outflow tract in two patients, the left ventricular outflow tract in one, the right atrial in one, the right ventricular in one and the right atrioventricular groove in one. Five patients were operated on using standard cardiopulmonary bypass techniques, and one was operated on without cardiopulmonary bypass. RESULTS In the perioperative and the early postoperative period, no cardiac problems was observed. On control echocardiography, a ventricular septal defect was detected in one patient in the late postoperative period. The ventricular septal defect was repaired using standard cardiopulmonary bypass and was closed with a teflon patch. Patients were followed up for a mean period of 3.4+/-2.5 years. No mortality or recurrence was observed during the follow-up period. CONCLUSIONS When hydatid cyst is diagnosed, the possibility of cardiac involvement should also be investigated. The treatment of cardiac hydatid cyst is surgical extraction of the cyst. Results of surgery are generally satisfactory.
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Affiliation(s)
- Ali Gürbüz
- Department of Cardiovascular Surgery, Atatürk Education and Research Hospital, Yesilyurt, Izmir, Turkey
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Nadareishivili A, Goziridze M, Zodelava E, Nachkepia M, Grigolia G, Chekanov V. Unusual recurrence of hydatid cysts of the heart: report of two cases and review of the clinical and surgical aspects of the disease. J Card Surg 2000; 15:223-8. [PMID: 11414609 DOI: 10.1111/j.1540-8191.2000.tb00460.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In cardiac echinococcosis, a hydatid cyst most frequently forms either solely in the heart or in the pericardium, but there are several reports of cysts forming in the liver or lung or in both. In two cases reported here, both patients developed cysts in new sites after one or more previous surgeries for hydatid cyst removal. In Case 1, the patient first underwent spleenectomy and resection of multiple cysts with no evidence of a cyst in the heart; 3 years later, there was no sign of Echinococcus in the liver, but a large inframyocardial cyst had damaged the left ventricle. In Case 2, the patient first underwent surgery to remove cysts from the pericardium, 2 years later from the anterior wall of the left ventricle, and, finally, 8 months after this second operation, from the left atrium also with no evidence of cyst formation anywhere else in the heart at the time of surgery. These cases emphasize the need for thorough and frequent reevaluation to detect new hydatid cyst formation in the heart and elsewhere caused by the Echinococcus organism.
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