Cardiac hydatid disease: literature review

Vijayakumar, Abhishek; Vijayakumar, Avinash

doi:10.1177/0218492312460774

Cited by 23 publications

(25 citation statements)

References 23 publications

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“…Hydatid cyst within pulmonary arteries is an exceptional localization and most frequently a consequence of embolism from primary cardiac locations or a result of intraoperative rupture of a primitive liver or lung hydatid lesion (secondary echinococcosis). 2 This patient had bilateral intra-arterial pulmonary involvement, so most probably she had germinative membrane embolization, intravascular growth of hydatid cyst, and subsequent chronic thrombosis.…”

Section: Discussionmentioning

confidence: 93%

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Surgical treatment of pulmonary hypertension caused by echinococcosis disease

Camporrotondo

Vrancic

Piccinini

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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Echinococcosis is a parasitic zoonosis caused by the dog tapeworm Echinococcus and its larval stage, the hydatid cyst. The vast majority of cysts occur in the liver, lungs, or both. 1 Arterial involvement is usually seen after cardiac hydatid cyst rupture. Hydatid cyst within the pulmonary arteries is an exceptional localization, usually a consequence of embolism from primary cardiac locations or intraoperative rupture of a primitive liver or lung hydatid lesion. 2 We present the case of a patient with bilateral intra-arterial pulmonary involvement leading to pulmonary hypertension. CLINICAL SUMMARYA 33-year-old-woman had a 3-month history of dyspnea. The patient had a history of disseminated cardiothoracic echinococcosis and had undergone bilateral lung cyst resection twice, 7 and 6 years before the index visit. A right atrial cyst had also been removed 3 years previously. Throughout the years, the patient had received long-term antiparasitic therapy with albendazole.One month after the cardiac surgery, the patient had symptomatic severe pulmonary hypertension develop. Pulmonary angiography confirmed stenosis of the right interlobar artery, which was successfully treated with a stent implantation. One year before her admission, there was recurrence of severe pulmonary arterial hypertension. Contrast-enhanced computed tomographic scan displayed complete occlusion of the right upper posterior segmental artery and bilateral interlobar arteries, without signs of extrinsic compression. Ventilation-perfusion lung scan showed severe mismatch. Pulmonary angiography revealed right interlobar pulmonary artery stent occlusion, posterior right upper segmental artery occlusion, and absence of pulmonary vessels on the left lower lung (Figure 1). On right heart catheterization, mean pulmonary arterial pressure was 55 mm Hg, and pulmonary vascular resistance was 545 dyne/(s $ cm À5 ).The patient underwent pulmonary endarterectomy with standard cardiopulmonary bypass, deep hypothermia (20 C), and intermittent circulatory arrest. Surrounding tissues were initially protected from spreading of the hydatid cysts with wet sponges soaked with hypertonic saline solution, and the main right pulmonary artery was incised. Loose thrombus and hydatid vesicles were removed from endothelium. Two intervals of circulatory arrest (20 minutes each) were needed to remove the right interlobar pulmonary stent and perform a complete endarterectomy of the right lower lobe arteries. The entire pulmonary tree was irrigated with normal saline solution in an effort to kill any potentially unresected distal vessel located viable Echinococcus. Right arteriotomy was closed with a 6-0 polypropylene running suture. A left-side incision was then performed with a single arrest (16 minutes) and the same approach. Inotropic support and nitric oxide was required during cardiopulmonary bypass weaning and the early postoperative period. Immediately after the surgery, mean pulmonary arterial pressure was reduced to 37 mm Hg and pulmonary vascular resistance to 256 dyn...

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Section: Discussionmentioning

confidence: 93%

“…Hydatid cyst within the pulmonary arteries is an exceptional localization, usually a consequence of embolism from primary cardiac locations or intraoperative rupture of a primitive liver or lung hydatid lesion. 2 We present the case of a patient with bilateral intra-arterial pulmonary involvement leading to pulmonary hypertension.…”

mentioning

confidence: 99%

Surgical treatment of pulmonary hypertension caused by echinococcosis disease

Camporrotondo

Vrancic

Piccinini

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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“…Echinococcosis is an important parasitic zoonotic disease, with an annual incidence of 0.4 per 10 5 [1]. Humans are accidental hosts and usually infected by ingestion of eggs by drinking contaminated water or handling egg-containing soil, dirt or animal hair.…”

Section: Discussionmentioning

confidence: 99%

Atrial tachycardia, atrioventricular conduction disturbance and right heart failure years after removal of a cardiac hydatid cyst

Antoniou¹,

Αρσένος²,

Apostolopoulos³

et al. 2017

J Integr Cardiol

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The present case report article focuses on the two-decade-long follow-up of a patient presenting with a rare echinococcosis complication, the formation of a hydatid cyst in the interventricular septum. Following successful surgical removal she experienced numerous complications, including atrial tachycardia, severe tricuspid regurgitation with right heart failure and aborted sudden death. Consequently, she was submitted to a host of invasive procedures, namely tachycardia ablation, valvular surgery (twice) and cardioverter -defibrillator implantation. This case is interesting because, despite the fact she experienced numerous complications, both from her disease and its treatment (conduction disturbances, valvular insufficiency leading to surgery and aborted sudden cardiac death) she is currently well and largely asymptomatic. Patient historyA 28-year old woman was evaluated in 1995 due to precordial discomfort associated with protracted fever and leukocytosis. Echocardiography revealed an echolucent cystic mass in the interventricular septum (IVS) and MRI scans showed a hypointense mass on T1 sequence, occupying most of the IVS (Figure 1). Following positive serology assays, cardiac hydatid disease was diagnosed. Patient was referred for surgery and following resection antiechinococcal treatment was administered. No other cysts were discovered following extensive imaging workup.Six years later, she presented complaining of paroxysmal palpitations, dyspnea and fatigue over the last five months. An electrocardiogram showed atrial tachycardia (AT) at 130 beats per minute with 2:1 atrioventricular conduction and right bundle branch block with left anterior hemiblock ( Figure 2a). P wave morphology was positive in aVL, isoelectric in I and negative in V1. Electrophysiology study revealed a markedly prolonged H-V interval of 170 milliseconds and unstable atrioventricular conduction deteriorating to complete block upon fast pacing (Figure 2b).An ablation catheter located the point of the earliest atrial activation at the inferior mid-anterior right atrial wall (Figure 3a) where radiofrequency ablation terminated the arrhythmia (Figure 3b). A dual chamber pacemaker was implanted to ensure proper atrioventricular conduction. Patient recovered uneventfully; however, paroxysmal AT relapsed and, being asymptomatic, declined further ablation attempts.Over the next years, 24-hour electrocardiogram recordings consistently showed AT paroxysms and variable atrioventricular conduction, with normal pacemaker function.In 2003, on follow-up, she complained of exertional dyspnea (NYHA II) and a parasternal systolic murmur was audible. Echocardiography demonstrated severe tricuspid regurgitation with dilation of the right cardiac chambers; thus, after initial medical management tricuspid valve repair with annulus support was performed in 2005.

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“…Kistin intraperikardiyal rüptürü sonucu %25 oranında ölümle sonuçlanabilen perikardit, perikardiyal efüzyon ve tamponad gelişebilmektedir (5).…”

Section: Discussionunclassified

Çarpıntı Şikayetiyle Başvuran Çocukta Multiorgan Tutulumlu Kardiyak Kist Hidatik

Öztürk¹,

Özyılmaz²,

Kiplapinar³

et al. 2013

haseki

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ÖzetKardiyak kist hidatik endemik bölgelerde nadir görülen bir enfeksiyon hastalığıdır. Yerleşim yeri nedeniyle ölümcül komplikasyonlara neden olabilir. Kardiyak yerleşim oldukça nadirdir ve tüm kist hidatik olgularının ancak %0.5-2'sini oluşturmaktadır. Kardiyak yerleşim bölgeleri içinde de sıklıkla sol ventrikül, nadiren sağ ventrikül ve interventriküler septum (IVS) yerleşimlidir. Tanısında transtorasik ekokardiyografi, bilgisayarlı tomografi (BT) ve manyetik rezonans (MR) inceleme yararlı olabilir. Bu yazıda çarpıntı şikayetiyle kliniğimize başvurmuş ve kardiyak kist hidatik tanısı almış on iki yaşında bir kız hasta sunulmuştur. Abs tractCardiac hydatid cyst is a rare form of echinococcosis seen in endemic areas. Depending on the exact localization, it can lead to life-threatening complications. A cardiac localization is rare, accounting for only 0.5-2% of all cases of echinococcal cyst. The most frequently involved area of the heart is the left ventricle and, much rarely, the right ventricle and the interventricular septum. Transthoracic echocardiography (TTE), computed tomography (CT) and magnetic resonance imaging (MRI) may be useful in the diagnosis . This article presents the case of a twelve-year-old girl who was reffered to our clinic for the complaints of palpitation and was diagnosed with cardiac echinococcal cyst. GirişKist hidatik kedi, köpek gibi hayvanların intestinal sisteminde yaşayan Echinococcus granulosus cinsi parazitlerin oluşturduğu zoonotik bir enfeksiyon hastalığıdır. Bu hastalık koyun ve inek yetiştirilen Güney Amerika, Afrika, Türkiye, Avustralya, Yeni Zelanda ve Hindistan'da endemik olarak görülmektedir (1).Kist hidatiğin en sık yerleştiği organlar sırasıyla karaciğer (%55-70) ve akciğerdir (%18-35). Kardiyak yerleşim oldukça nadirdir ve tüm kist hidatik olgularının ancak %0.5-2'sini oluşturmaktadır (2). Kardiyak yerleşim bölgeleri içinde de sıklıkla sol ventrikül, nadiren sağ ventrikül ve interventriküler septum (IVS) yerleşimlidir. Kardiyak kist hidatikler, ölümcül olan komplikasyonlar ve aritmiler nedeniyle cerrahi olarak tedavi edilmelidir. Bu yazıda çarpıntı şikayetiyle başvuran ve ekokardiyografi sonrasında kardiyak kist hidatik saptanan on iki yaşında kız hasta sunulmuştur. OlguOn iki yaşında kız hasta, bir yıldır süregelen haftada bir kaç kez olan beş on dakika devam çarpıntı ve aralıklı nefes darlığı şikayetiyle hastanemizin Çocuk Kardiyoloji Kliniği'ne başvurdu. Hastada duyulan 1/6 şiddetindeki üfürüm masum üfürüm olarak değerlendirildi. Diğer sistem muayenelerinde patoloji saptanmadı. On iki kanallı elektrokardiyografi (EKG) normal sinüs ritmindeydi. 24 saatlik holter EKG incelemesinde patoloji saptanmadı. Ekokardiyografide interventriküler septum üzerinde 35x30 mm boyutlarında içi septalı kist görüldü (Resim 1). Kardiak kitlenin ayırıcı tanısı ve olası diğer bölge tutulumu için akciğer grafisi çekildi ve 128 slice dual source BT cihazı ile toraks ve batın değerlendirildi. Kalp dışında sol akciğer alt lob laterobazal segmentte, sağ akciğer alt lob anterobazal segmentte ...

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Cardiac hydatid disease: literature review

Cited by 23 publications

References 23 publications

Surgical treatment of pulmonary hypertension caused by echinococcosis disease

Surgical treatment of pulmonary hypertension caused by echinococcosis disease

Atrial tachycardia, atrioventricular conduction disturbance and right heart failure years after removal of a cardiac hydatid cyst

Çarpıntı Şikayetiyle Başvuran Çocukta Multiorgan Tutulumlu Kardiyak Kist Hidatik

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