A Rare Presentation of Cardiac Hydatid Cyst: Stroke and Acute Aortic Occlusion

Yaliniz, Hafize; Tokcan, Acar; Ulus, Tümer; Kisacikoğlu, Bülent; Salih, Orhan Kemal; Topcuoglu, Mehmet Sah; Poyrazoğlu, Hakan; Alhan, Cumhur

doi:10.1532/hsf98.20041056

Cited by 15 publications

(19 citation statements)

References 5 publications

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“…Acute stroke as a presenting symptom of cardiac hydatid disease is exceptionally rare, and only a few cases have been reported in the literature. [6] As in our case, treatment of choice even for asymptomatic cardiac hydatid cysts is surgical excision, which yields complete recovery and excellent prognosis. Resection under cardiopulmonary bypass, since 1962, has been considered the safest method, with the least risk of spillage of cyst contents during the procedure.…”

Section: Discussionmentioning

confidence: 70%

“…[5] The overall effect can give rise to symptoms such as those associated with the compression of a coronary artery, with a disturbance in the valvular mechanisms (clinically simulating mitral, pulmonary, aortic, or tricuspid valve stenosis or regurgitation), or with outflow tract obstruction or a variety of conduction defects (caused by the involvement of the interventricular septum). [67] An anaphylactic reaction and profound circulatory collapse may follow intracavitary rupture. Acute stroke as a presenting symptom of cardiac hydatid disease is exceptionally rare, and only a few cases have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…[5] It is advisable to place an additional filter on the venous side of the circuit to prevent the passage of hydatid particles to the pump, especially in rupture cases. [6] Perioperative anaphylactic shock, arrhythmias, myocardial ischemia, tamponade, and germinative membrane embolization causing hemodynamic deterioration are the potential challenges to be kept in the mind while managing even an asymptomatic case. Supplemental medical therapy with mebendazole or albendazole is recommended to reduce the risk of recurrence, especially in the event of intracardiac rupture.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative management of intramyocardial hydatid cyst with off-pump technique

Gupta

Priyadarshi

2019

Ann Card Anaesth

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Cardiac echinococcosis is a rare disease. Depending on the location of hydatid cyst in the heart, clinical presentation can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, cardiac tamponade, cardiac failure, shock, and even death. Treatment of choice for cardiac hydatid cysts is surgical excision, even in an asymptomatic patient. We present a case report of an asymptomatic case of off-pump removal of intramyocardial hydatid cyst. A 21-year-old male presented asymptomatically and was diagnosed with a hydatid cyst incidentally during a regular checkup. Echocardiography and cardiac computed tomography angiography images demonstrated an intramyocardial hydatid cyst on the lateral aspect of the left ventricle with slight extension over the anterior and posterior regions. Important aspects of diagnosis and management specific to cardiac hydatid cyst along with the review of literature have been discussed.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perioperative management of intramyocardial hydatid cyst with off-pump technique

Gupta

Priyadarshi

2019

Ann Card Anaesth

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“…The overall effect can give rise to symptoms such as those associated with the compression of a coronary artery, with a disturbance in the valvular mechanisms (clinically simulating mitral, pulmonary, aortic, or tricuspid valve stenosis or regurgitation), or with outflow tract obstruction or a variety of conduction defects (caused by the involvement of the interventricular septum) [7], [8].…”

Section: Discussionmentioning

confidence: 99%

Perioperative Evaluation of Heart Echinococcus Cyst in a 14-Year-Old Child

Kuçi

Ibrahimi

Memeti

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Echinococcosis of the heart has a rate 0.02–2% of all hydatid diseases. Clinical presentation is depending of the location of hydatid cyst in the heart. Patients can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, pulmonary edema, cardiac tamponade, cardiac failure, shock, and even death. CASE REPORT: We present a case report, a 14-year-old child with 2 weeks of sore throat, whooping cough, subfebrile condition, sweating, fatigue and physical weakness, nausea, abdominal pain, and decreased appetite. He came to emergency room with cardiogenic shock and pulmonary edema. He was diagnosed with intramyocardial hydatid cyst. CONCLUSION: Echinococcus cyst lesion in the LV in lateral wall, not communicating with the LV cavity, has been removed successfully with on-pump technique in a 14-year-oldchild. Median sternotomy was preferred and cardiopulmonary bypass has been considered the safest method. Supplemental medical therapy with albendazole is recommended to reduce the risk of recurrence.

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“…Additionally, palpitations and recurrent syncope may occur and are related to underlying cardiac arrhythmias. Rupture of cardiac hydatid cyst can result in pulmonary embolism or stroke [7,8]. The release of cyst content induces a life-threatening allergic reaction, which might also be a complication during surgical excision of hydatid cysts [9].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Hydatid Cyst Successfully Managed with Albendazole: A Case Report

AlShamlan

Almousa

Saeed

et al. 2019

Cureus

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Hydatid disease is a parasitic infection caused by tapeworm Echinococcus. It has a worldwide distribution, but it is endemic in certain geographic locations. Hydatid disease can almost involve any body organ. However, cardiac involvement is exceedingly rare. We report the case of young girl presenting with chest pain and shortness of breath. She had a history of renal hydatid cyst for which she underwent surgical resection. After thorough investigation, she was found to have a hydatid cyst involving the left ventricular wall. The patient's family refused surgical management, and she had received medical treatment in the form of albendazole which showed dramatic improvement in her condition. This case shed light on the importance of having a high index of suspicion for this condition, particularly in those patients with a history of hydatid cysts in other organs

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A Rare Presentation of Cardiac Hydatid Cyst: Stroke and Acute Aortic Occlusion

Abstract: Cardiac involvement in hydatid disease is uncommon. We report a case of a surgically treated ruptured left ventricular hydatid cyst, which presented with acute stroke and was later complicated by distal aortic embolism due to perioperative dislodgement of the germinative membrane.

Cited by 15 publications

References 5 publications

Perioperative management of intramyocardial hydatid cyst with off-pump technique

Perioperative management of intramyocardial hydatid cyst with off-pump technique

Perioperative Evaluation of Heart Echinococcus Cyst in a 14-Year-Old Child

Cardiac Hydatid Cyst Successfully Managed with Albendazole: A Case Report

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