Hydatid cyst of the left ventricle of the heart (original) (raw)
Related papers
A rare and challenging case of intrapericardial hydatidosis
Journal of Cardiothoracic Surgery, 2023
Background Hydatid cysts are most frequently located in the liver and lungs and very rarely can be found in the pericardium. Diagnosis and treatment are quite challenging, as the disease can present itself in many forms depending to the location and the complications that it might cause. Case presentation A 22-year-old man presented to our hospital with ongoing dry cough for more than 1 month prior to admission. Other symptoms included chest pain, fatigue, low grade fever, and night sweats, which have worsened in the past 2 weeks. Physical examination revealed normal respiratory and heart function. Chest X-ray demonstrated mediastinal enlargement and left pleural effusion. Contrast-enhanced computed tomography images showed a walled cystic mass lesion measuring up to 56 × 50 mm in close proximity to the upper left atrium, ascending aorta and pulmonary artery, potentially localized in the pericardium, with a 10 mm endoatrial filling defect, findings were compatible with hydatid cyst, left pleural effusion and peripheral pulmonary upper left lobe consolidation. Cardiac involvement was excluded on magnetic resonance imaging and trans-esophageal ultrasound. The patient underwent fine needle aspiration of the affected lung and thoracocentesis. No malignancy was found, meanwhile the biopsy confirmed the presence of pulmonary infarction. In view of the imaging findings were highly suspicious of a hydatid cyst, we performed a test of antibody titers that was negative. The patient underwent left anterolateral thoracotomy, and after the opening of the pericardium, a cystic mass of 5 cm in diameter was found next to the left atrium and in close proximity with the left pulmonary veins. The content of the cyst was completely removed after the surgical area was isolated with gauze impregnated with hypertonic solution (NaCl 10%). The mass resulted to be an echinococcal cyst with multiple daughter cysts within it that did not penetrate/involve (perforate) the cardiac wall. Conclusion Pericardial echinococcosis is a very rare pathology in which a high expertise multidisciplinary approach is required. The compression mass effect caused by the cyst can lead to complications, such as in our case where the pulmonary vein was compressed, leading to pulmonary infarction. The value of radiology studies and transoesophageal ultrasound are very important in the diagnosis. Surgery in these cases is always recommended, but preferred surgical approach is questionable. In cases such as ours, we recommend anterolateral thoracotomy.
A patient with severe congenital pulmonary stenosis and severe right ventricular hypertrophy
Anadolu Kardiyoloji Dergisi/The Anatolian Journal of Cardiology, 2012
narrow-QRS complex tachycardia with a rate of 190 bpm . Sinus rhythm was achieved after i.v. administration of verapamil which showed 0.5-1 mm ST segment elevation in septal leads (V1-V3). Chest X-ray revealed normal findings. Transthoracic echocardiography revealed left ventricular (LV) ejection fraction of 65%, LV end-diastolic diameter of 45 mm and cystic appearance at mid segment of the interventricular septum with 19x15 mm in diameter , Video 1. See corresponding video/movie images at www.anakarder.com). Cardiac magnetic resonance imaging demonstrated a cystic lesion, 20x13 mm in size, in the left ventricular side of interventricular septum, protruding into the lumen. The cystic lesion was hypointense on T1A sequences and hyperintense on T1 and T2A images, but was not suppressed on fat suppression sequences, which was compatible with cardiac hydatid cyst . Cranial, thoracic and abdominal tomographic imaging showed no lesions of hydatid cyst. Preoperative coronary angiography revealed normal coronary arteries. Leukocyte count was 8400/mm 3 (1.2% eosinophils). However, serological findings with indirect hemagglutination test were negative for echinococcal disease. Albendazole was initiated preoperatively for three weeks. The patient was operated with right ventriculotomy and cyst excision was performed with no complication. Pathological examination also confirmed the diagnosis of hydatid cyst. The patient was well at 3rd month control without any palpitation. Echocardiography revealed no defect or lesion at the interventricular septum. Additionally, 24-h Holter monitoring revealed sinus rhythm without any conduction blocks or dysrhythmia.
Annals of The Royal College of Surgeons of England, 2005
H ydatid disease is a parasitic infection with the metacestode stage of the tapeworm Echinococcus. Echinococcus granulosus is the commonest species infecting humans and is characterised by cyst formation. Hydatid cysts have been documented in almost all the organs. Cardiac involvement however is very rare, ranging between 0.5% and 3%. 1 Right ventricular hydatid cysts are even more rare; in this report, we review the management of one such case, recently operated in our unit.
Left ventricular hydatid cyst mimicking acute coronary syndrome
Radiology case reports, 2018
Hydatid disease is caused by the larvae of . Domestic dogs and cats are the primary carriers of echinococcal organisms. In some particular regions of the world, this parasitic infection is still endemic. Despite the fact that hydatid disease is most frequently located in the liver (50%-70% of cases) and the lungs (20%-30% of cases), it can occur in any organ or tissue. However, intracardiac localization of hydatid cyst is very rare and it is found in less than 2% of the cases. Cardiac involvement can be caused by systemic or pulmonary circulation or direct spread from adjacent structures. After the cardiac hydatid cyst remained asymptomatic for many years, the cyst opens into the pericardium, causes cardiac tamponade, and mimics acute coronary syndrome, or it may get into the circulation and cause anaphylactic shock, which happens rarely. Because clinical signs and symptoms of cardiac hydatid cyst are not specific and varied, it may be difficult to diagnose this disease It is critic...
Left ventricle hydatid cyst mimicking acute coronary syndrome
The Journal of Infection in Developing Countries, 2012
Cardiac echinococcosis rarely mimics acute coronary syndrome. The diagnosis of cardiac hydatid cyst might be difficult on account of varying clinical presentations and nonspesific symptoms. A 75-year-old female was admitted to our hospital with typical chest pain. The patient had no history of previous cardiac symptoms or any illness leading to heart disease. Her ECG revealed ischemic changes. However, her coronary angiography revealed noncritical plaques in the left anterior descending artery. The diagnosis of cardiac echinococcosis was identified using echocardiography, computed tomography and magnetic resonance imaging. The patient was referred to cardiac surgery for resection of the cyst; however, she refused surgery. Albendezol 800 mg/day was prescribed.
Cardiac hydatid disease; misleading presentations, a case series
Introdcution: Cardiac echinococcosis is a zoonotic parasitic infection that necessitates a high index of suspicion in endemic areas. The purpose of this study is to introduce different clinical scenarios of four cases in two major cardiac centers. Methods: A retrospective, case series study, conducted in three centers for the last two years. Addressing each case separately in regard to presentation and management. Results: Four cases have been reported, three patients were female 75% and one patient was male 25%. Age ranged from 27 to 32 years. All the patients 100% had dyspnea as their main first presentation, one patient (25%) presented as pulmonary embolism with three attacks of hemoptysis. One patient (25%) had an attack of convulsion 25%. Different segments of the heart were involved, Left ventricle was involved in 50%, Right ventricle in 25%, combined pulmonary and pericardial involvement in another 25%. Median Sternotomy with the cardioplegic arrest was performed in three patients 75% and Posterolateral thoracotomy was the approach in one case 25%. Conclusion: Cardiac Hydatid cyst is a sparse yet potentially perilous clinical entity. Early surgical intervention is the modality of choice might halt unfavorable consequences.