Cardiac hydatid cyst in a child: Diagnostic value of echocardiography and magnetic resonance imaging

Alehan, Dursun; Çeliker, Alpay; Aydıngöz, Üstün

doi:10.1111/j.1442-200x.1995.tb03395.x

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…However, it can lead to serious complications, such as ventricular arrhythmias, cardiac outflow obstruction, rupture, life threatening anaphylaxis, pulmonary embolism and cerebral embolism, cardiac tamponade and myocardial ischemia [9][10][11]. Serology for antibodies may be negative in 20% patients with hepatic cysts and nearly 40% with other cysts [8,12]. The definitive treatment of cardiac hydatid is surgical excision or marsupilization of cyst along with pre and postoperative albendazole therapy.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Evaluation of Cardiac Hydatid Using 256 Slice Dual Source CT: One Stop Shop

Jain

Sethi

Gupta

et al. 2015

JCDR

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We report a case of isolated myocardial hydatid arising from anterolateral wall of left ventricle (LV) in a 50-year-old female, who presented with progressive exertional dyspnoea for 11 months. Physical examination was unremarkable. Chest radiograph revealed normal lungs and a well defined, homogenous left paracardiac mass. Its medial border was inseparable from left cardiac border. Echocardiography revealed a multicystic mass abutting the LV wall [Table/ Fig-1]. There was mild mitral stenosis (MS) with moderate mitral regurgitation (MR). Ejection fraction was 69% with no regional wall motion abnormality. TLC was 8,500/mm 3 with 1.2% eosinophils. Indirect haemagglutination test for hydatid disease was positive. History of contact with livestock or pet animals was negative.On a 256-slice-dual source scanner (Somatom Definition Flash, Siemens, Germany), initially an ECG triggered coronary scan using prospective gating was done with 80ml 400mg % non-ionic iodinated contrast (Iomeron 400 TM ) at a rate of 5.5 ml/sec followed by saline bolus of 40 ml at same rate. This was immediately followed by another scan of entire chest for cyst morphology using standard chest parameters.The radiation dosages delivered to the patient by the two scans were 1.274 mSv & 2.45 mSv respectively.Data was post-processed to make MPR, MIP and VRT images of coronaries as well as standard images for chest. These revealed a 7.8cm x 6.9cm x 5.8cm size (volume 341 cc), oval, non-calcified, multicystic mass with honeycomb appearance arising from myocardium of anterolateral wall of LV [Table/Fig2a]. Interventricular septum and posterior wall showed normally enhancing myocardium but the myocardium of anterolateral wall of LV was not discernable from the cyst wall [Table/ Fig-2b]. All three coronary arteries were normal and the LAD showed [Table/ Fig-3a,b] no displacement or extrinsic compression by the cyst. Pulmonary arteries and both lungs were normal [Table /Fig-3b]. Since all necessary information was available catheter coronary angiography was not performed. Liver is the most common organ to be involved in this condition. Cardiac hydatid, seen in only 0.5 to 2% cases, is a rare entity because of myocardial contractility. Larvae reach the myocardium through coronary circulation. Among various locations of cardiac hydatid, due to its rich coronary arterial supply Left ventricle (LV) myocardium is the most common site of involvement followed by interventricular septum and right ventricle. Rare locations include pericardium, right atrium and left atrium. A 50-year-old woman presented with dyspnoea for 11 months, chest X-ray showed a well defined, homogenous left paracardiac mass, which is not separable from left heart border. Transthoracic echocardiography revealed a complex multicystic mass lesion abutting antero-lateral wall of left ventricle. Contrast enhanced computed tomography showed a well-circumscribed multicystic mass lesion with honeycomb appearance arising from myocardium of anterolateral wall of left ventricle. Indirect haemagglutina...

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Section: Discussionmentioning

confidence: 99%

Comprehensive Evaluation of Cardiac Hydatid Using 256 Slice Dual Source CT: One Stop Shop

Jain

Sethi

Gupta

et al. 2015

JCDR

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“…Therefore, it should not be forgotten that patients with cardiac hydatic cyst are often asymptomatic. [10,11] Although cardiac HCD is generally asymptomatic, since serious complications can occur, and rupture of cyst wall may cause sudden death, definitive treatment for cardiac hydatid cyst is surgery. Surgical mortality for cardiac hydatid cyst reportedly ranges between 0.29 and 0.6%.…”

Section: Discussionmentioning

confidence: 99%

A Case of Multiple Bilateral Pulmonary and Intracardiac Hydatidosis

Doğan¹

2017

South Clin Ist Euras

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Hydatid cyst disease (HCD) is a parasitic infection caused by Echinococcus granulosus larvae. Habitat of the disease is most frequently liver, followed by lungs; intracardiac occurrence is rare. When it occurs, cardiac involvement is more common in left ventricle, where blood supply is intense. Disease is extremely rare in right atrium. While following case at clinic with diagnosis of bilateral pulmonary hydatid cyst, right atrium involvement was incidentally found. Since hydatid cyst disease with intracardiac localization is rarely seen, present report was prepared in order to draw attention to importance of thorough diagnosis and treatment of these patients.

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“…12) Cardiac hydatid cysts account for 0.02-2% of all hydatid cysts, 55-75% are localized in the left ventricule, 15-18% in the right ventricle, 5-9% in the interventricular septum, 3-4% in the right atrium, and 2% in the interatrial septum. 1,9,11) According to the published literature, hydatid cysts localized in the interatrial septum are generally diagnosed during the autopsy of a rupture or mortal arrhythmia, during venous cannulation in open heart surgery, or during exploration of massive pulmonary emboli. [1][2][3] In our case, a hydatid cyst located in the interatrial septum was detected after surgery on an intracranially localized hydatid cyst and during exploration for a second focus.…”

Section: Discussionmentioning

confidence: 99%

The Case of a Cyst Hydatid Localized Within the Interatrial Septum

et al. 2004

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SUMMARYThe ratio of cardiac involvement of Echinoccocus granulosus is 0.02-2% and although seen rarely, involvement of the interatrial septum has also been reported in the published literature. The present case was a 19-year-old male university student admitted to hospital with complaints of headache and dizziness. Computerized tomography of the cranium revealed a cystic mass located at the frontal region and enucleation of the cyst was performed during surgery. A cystic lesion 5 × 4 cm in size was detected within the interatrial septum on two-dimensional transthoracic echocardiography during the postoperative period and the patient was referred to our clinic. Open heart surgery was performed and a hydatid cyst that involved the interatrial septum was enucleated. The cyst wall was sutured to the interatrial septum. No complications developed during the postoperative period. The patient was discharged on the fifth day of hospitalization and medical therapy was started with albendazole. (Jpn Heart J 2004; 45: 703-707)

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Cardiac hydatid cyst in a child: Diagnostic value of echocardiography and magnetic resonance imaging

Cited by 10 publications

References 8 publications

Comprehensive Evaluation of Cardiac Hydatid Using 256 Slice Dual Source CT: One Stop Shop

Comprehensive Evaluation of Cardiac Hydatid Using 256 Slice Dual Source CT: One Stop Shop

A Case of Multiple Bilateral Pulmonary and Intracardiac Hydatidosis

The Case of a Cyst Hydatid Localized Within the Interatrial Septum

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