Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation

Lyazidi, Selma; Abetti, Ayoub; Abdellaoui, Amal; Adaoui, Ahmed El; Habbal, Rachida; Ettaoumi, Youssef

doi:10.1016/j.amsu.2021.102427

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Hydatid cysts can be detected anywhere in the body (10). The prevalence of hydatid cysts is 65% in the liver, 25% in the lung, and 2-5% in the heart (2).…”

Section: Discussionmentioning

confidence: 99%

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A rare case of hydatid cyst in the chordae tendineae of papillary muscle of the right ventricle

Hekmat,

Ghaderi,

Ansari Aval

et al. 2024

Immunopathol Persa

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Hydatid cyst inside the cardiac chambers, especially the right ventricle, is a rare manifestation of the Echinococcus granulosus infection. We present a rare case of a mobile hydatid cyst on the chordae tendineae of the right ventricular papillary muscle. An 11-year-old male patient presented with multiple cysts in the body (numerous ones in the lung and liver) who had undergone left lung lobectomy due to a hydatid cyst prone to rupture. In the subsequent echocardiography, a fully mobile cyst measuring 2×1.5 cm was noticed in the right ventricle. Although the child had no cardiac presentation, due to the risk posed by its location and the high probability of sudden death or embolism, he underwent a successful cardiac and pulmonary bypass operation, and the cyst was completely excised. It was located on the chordae tendineae of the papillary muscle. In agricultural and rural countries and regions, cardiac hydatid cysts should be considered at any age. Due to the high risk of complications and mortality in cardiac hydatid cysts, regardless of the symptoms, inpatients with a positive history, cardiac examination with echocardiography must be included in diagnostic protocols. These cysts should be surgically removed as soon as possible on diagnosis, regardless of the symptoms.

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“…Hydatid cysts can be detected anywhere in the body (10). The prevalence of hydatid cysts is 65% in the liver, 25% in the lung, and 2-5% in the heart (2).…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of hydatid cysts is 65% in the liver, 25% in the lung, and 2-5% in the heart (2). Cardiac hydatid cystsmay lead to rapture and anaphylactic shock, and if treatment is delayed, sudden death can occur in about 0.30-23.47% of cases (9,10). Therefore, cardiac hydatid cysts need heart surgery.…”

Section: Discussionmentioning

confidence: 99%

A rare case of hydatid cyst in the chordae tendineae of papillary muscle of the right ventricle

Hekmat,

Ghaderi,

Ansari Aval

et al. 2024

Immunopathol Persa

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“…Hydatidosis refers to parasitic infection induced by the larvae of E. granulosus. Hydatid cyst is still endemic in developing countries, particularly among sheep breeders, and is considered as a public health problem in Morocco [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

The silent invader: a case of intrapericardial hydatid cyst with exceptional pulmonary artery involvement

Soufiani,

El-Mhadi,

Chraibi

et al. 2023

Oxford Medical Case Reports

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A 70-year-old woman was referred to our cardiology department for the management of dyspnoea. Cardiovascular examination revealed a loud P2, with no sign of right-sided heart failure. Chest X-ray showed a convex left medium cardiac border and a double contour along the right cardiac border. Transthoracic echocardiogram revealed a cystic mass attached to the right ventricle apex. Computed tomography scan showed cyst with fluid density on the apex of the right ventricle; and a honeycomb-like aspect cyst with partial occlusion in the left pulmonary artery. Cardiac magnetic resonance imaging revealed the presence of hydatic intrapericardial cyst that compresses the right ventricular apex; associated with intraluminal left pulmonary artery cyst. Hydatic serology was positive. The patient refused surgery and was discharged on a regimen of Albendazole. She has been followed up closely with a good outcome.

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“…Indeed, clinical symptoms of cardiac hydatid cyst range from asymptomatic to severe heart failure and other life threatening events [ 9 ]. The number, the size, the location and the revolutionary stage of the cyst, can all play a role in clinical presentations and physical examination of the patient [ 10 ]. Symptoms if present are including chest pain (due to the compression of coronary arteries or acute pericarditis and intra-pericardial cyst rupture), palpitation (due to the irritation of the conduction system located in the inter-ventricular septum), atrio-ventricular block (due to the compression of the conduction fibers), dyspnea or syncope (due to the right ventricular or left ventricular outflow tract obstruction) and tamponade (due to the rupture of an intra-pericardial cyst) [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another potential risk which could be encountered during the surgery of the right ventricular hydatid cyst is the pulmonary embolism. In order to prevent the cyst contents from draining into the pulmonary circulation, it is recommended to clamp the pulmonary artery before the hydatid cyst removal [ 10 ]. Nevertheless, the pulmonary cross clamping was not done during the surgery in the present case.…”

Section: Discussionmentioning

confidence: 99%

Large right ventricular hydatid cyst in a child: a case report

et al. 2023

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Background Cystic Hydatid disease is a parasitic infection with a worldwide distribution. It is caused by the larval stages of a species of tapeworms known as Echinococcus granulosus. Even in endemic areas; Cardiac involvement by hydatidiosis is very rare and has atypical presentations as well as localization which make it undiagnosed in about 10% of cases. The left ventricle is the most Common chamber involved by the hydatid cyst and isolated involvement of the right ventricle is very rare, especially in children. The aim of the present study was to describe hydatid cardiac cyst of the right ventricle of a child. Case presentation We present a rare case of an 8 year-old boy, living in a rural area, who was diagnosed with a cardiac hydatid cyst in the right ventricle. He also had multiple pulmonary hydatid cysts and presented with dyspnea, cough and atypical chest pain. The patient underwent surgery for the resection of pulmonary cysts and, subsequently, cardiac hydatid cyst. The outcome was favorable seven weeks after surgery and there was no clinical and echocardiographic recurrence. Conclusion Cardiac Echinococcosis must be suspected in endemic areas, diagnosed with appropriate imaging techniques, and treated appropriately.

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Cardiac hydatid cyst in the right ventricle - A rare case report of echinococcosis presentation

Cited by 5 publications

References 11 publications

A rare case of hydatid cyst in the chordae tendineae of papillary muscle of the right ventricle

A rare case of hydatid cyst in the chordae tendineae of papillary muscle of the right ventricle

The silent invader: a case of intrapericardial hydatid cyst with exceptional pulmonary artery involvement

Large right ventricular hydatid cyst in a child: a case report

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