Hydatid cyst of the heart as a rare cause of arrhythmia: A case report and review of published reports.
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ABSTRACT:
SUBMITTER: Dong Z
PROVIDER: S-EPMC9237349 | biostudies-literature | 2022 Jun
REPOSITORIES: biostudies-literature
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Hydatid cyst of the heart as a rare cause of arrhythmia: A case report and review of published reports.
Dong Zhenyu Z Yusup Muyassar M Lu Yanmei Y Tang Baopeng B
HeartRhythm case reports 20220409 6
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Project description: Not available
| S-EPMC10944800 | biostudies-literature
Project description:Hydatid infection of the heart is rare and there is always the lethal hazard of cyst perforation. We present an 18-year-old male from Kashmir valley who was admitted to the emergency department of our hospital with fever and chest pain for the last 4 days. Using echocardiography and cardiac tomography (CT), cardiac Echinococcosis was diagnosed. The results of surgical treatment of cardiac Echinococcosis were better than the conservative strategy. Surgical excision was performed. The patient had an uneventful recovery.
| S-EPMC8617402 | biostudies-literature
Project description: Not available
| S-EPMC6177088 | biostudies-literature
Project description:RationaleHydatidosis, a larval cestode zoonotic infection caused by Echinococcus granulosus, predominantly affects the liver and lungs. While the disease is well-documented in these common sites, cardiac involvement remains exceedingly rare, with an incidence ranging from 0.02% to 2%. Among the cases of cardiac hydatidosis, cysts located at the apex of the heart are particularly uncommon, accounting for only 5.2% of reported instances.Patient concernsA 43-year-old woman presented to the emergency department with fatigue and dyspnea on exertion. Physical examination was unremarkable, and laboratory tests showed normal hematology and coagulation test results, but positive indirect hemagglutination test for hydatid cyst raised suspicion of infection.DiagnosesCardiac ultrasound revealed an echo-lucent structure in the left ventricle, consistent with a cystic lesion. Further investigation with computed tomography (CT) scans identified a large 9 cm cardiac cyst at the apex of the left ventricle, a 3 cm cyst in the right lung, and multiple well-circumscribed cystic lesions in the right lobe of the liver. These findings strongly suggested the diagnosis hydatid disease.InterventionsThe patient underwent surgery to evacuate the apical cardiac cyst liquid and remove its laminated layer. Albendazole was prescribed to prevent recurrence of the cyst and treat smaller cysts located in the liver and right lung.OutcomesThe patient recovered well with no evidence of cardiac abnormalities or recurrence during follow-up.LessonsCardiac hydatid disease, though rare, poses serious risks in endemic regions. Echocardiography and CT scans help in diagnosing hydatid cysts, measuring their size, and assessing their location. Surgical intervention is recommended, even in asymptomatic patients, to prevent cyst rupture and potential complications.
| S-EPMC11922392 | biostudies-literature
Project description:IntroductionThe 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 presentationWe 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 discussionCardiac 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.ConclusionCardiac HC must be always suspected in endemic countries, especially in patients with a family history of HC.
| S-EPMC8175272 | biostudies-literature
Project description:Introduction and importanceEchinococcus 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 presentationWe 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 discussionCardiac 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.ConclusionCardiac 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.
| S-EPMC9422047 | biostudies-literature
Project description:INTRODUCTION:Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, most commonly seen in the liver and lungs. The hydatid cyst is rarely seen in the heart and iliofemoral region, representing less than 2% of all cases. In this article, we report our cases of hydatid cysts in unusual loci. METHODS:Between 2015 and 2018, 6 rare cases of hydatid cysts were diagnosed at the Cardiovascular Surgery Department of Harran University. Four of these patients had cardiac localization and two patients had their cysts located in the iliofemoral region, extending to the pelvic zone. All patients were female. Three patients had no other organ involvement. One patient with cardiac hydatid cyst underwent normothermic cardiopulmonary bypass + total pericystectomy + Cooley-like aneurysmectomy. Total pericystectomy was performed in three other patients with intrathoracic locus by normothermic cardiopulmonary bypass. Two patients who were referred to our clinic with palpable iliofemoral mass were evaluated with appropriate imaging methods and diagnosed accordingly. Multiple iliofemoral cysts were managed with pericystectomy and drainage by a single incision made over the inguinal ligament. CONCLUSION:Hydatid cyst disease can develop in cardiac chambers and inguinal region with or without hepatic or pneumatic involvement. Normothermic cardiopulmonary bypass can be safely used in patients with cardiac hydatid cysts, and capitonnage similar to ventricular aneurysm repair in patients with a widely involved cystic lesion can be very useful for the protection of ventricular functions.
| S-EPMC7454634 | biostudies-literature
Project description:IntroductionHydatid disease is endemic in farming areas but occurs worldwide. The most common site of disease is liver. Hydatid disease of the spleen is a rare condition. Worldwide incidence of splenic hydatid is 0.5-4%. Surgery is the mainstay of treatment. The standard treatment is open total or partial splenectomy.Presentation of caseA 28 year-old female patient was referred to our institution, after coincidental sonography finding. On abdominal examination, there was no sensitization, and there was no resistance or rebound.Ultrasound showed an enlarge spleen; an abdominal CT confirmed the presence of a splenic cyst at the lower pole of the spleen of 7 cm in diameter, no other organ involvement. The biological confirmation was made by indirect hemagglutination. Spleen-sparing surgery was performed. Macroscopic and microscopic examination of the specimen confirmed Hydatid cyst. The patient was discharged from hospital on the seventh postoperative day with a prescription for albendazole (2 × 400 mg/day) for three months.Discussion and conclusionThe rarity of primary splenic hydatid disease poses a diagnostic challenge for clinicians, the disease should be considered in differential in every patient in endemic areas with cystic lesion of spleen until proved otherwise, it may be detected incidentally or present with non-specific complaints, preservation surgery should always be tried to avoid post splenectomy infection, especially in young patients.
| S-EPMC8091878 | biostudies-literature
Project description:Hydatidosis commonly affect the liver and lungs but in rare cases, it can involve heart tissue. A 42-year-old man from urban areas of Khorasan Razavi province, northeastern Iran, was referred to the cardiac clinic with palpitation, and atypical chest pain in 2018. Large pericardial effusion, reduced left ventricle systolic function was found. A cystic-like lesion was also seen in inter-ventricular septum in echocardiography and high-resolution computed tomography (HRCT). Urgent cardiac surgery was done because of echocardiographic evidence of tamponade. Although the serologic analysis was negative for hydatidosis, surgical excision of cyst and the subsequent histopathological findings revealed a hydatid cyst. In endemic areas, hydatidosis should be considered in differential diagnosis of any cystic-like lesions, even if the serological analysis is negative.
| S-EPMC7080332 | biostudies-literature
Project description:Cystic echinococcosis (CE), which is present in all parts of the world, is caused by the bacterium Echinococcus granulosus. One of the most serious parasitic infectious diseases affecting both humans and animals, CE causes hydatid cysts that can lodge in various host organs, including the liver, lungs, heart, and brain, which can be fatal. Treatment options for cystic echinococcosis are active anthelmintics, surgery, and percutaneous aspiration. Numerous scolicidal chemical agents are in practice, but due to increased drug resistance and adverse reactions associated with drugs, usage is limited. Finding alternative therapies with the least or no side effects to manage the condition is the need of the hour. Here, we report a case of an asymptomatic hydatid lung cyst that was managed using Ayurvedic treatment principles. A 57-year-old businessman, asymptomatic, came with a diagnosis of Hydatid lung disease confirmed by CT scan. Surgery was advised, but the patient approached for Ayurveda treatment. The case was treated with oral medicines like Arogyavardhini gutika, Goarka, Kanchanara guggulu, Vidangasava, Kapalabhati pranayama for a period of 8 months. Complete resolution of the cyst was seen, which was evident by a CT scan. Promising results were seen in the present case, but further research in this area is required to produce evidence-based results.
| S-EPMC11530828 | biostudies-literature