Cardiac Tamponade via a Fistula to the Pericardium From a Hydatid Cyst: Case Report and Review of the Literature

Demircan, Ahmet; Keleş, Ayfer; Kahveci, F. Ozan; Tulmaç, Murat; Ozsarac, Murat

doi:10.1016/j.jemermed.2007.07.017

Cited by 13 publications

(16 citation statements)

References 17 publications

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“…Cardiac echinococcosis is rare but may result in serious complications such as pericardial tamponade [1], pulmonary embolism [8] and, moreover, may cause sudden death [9]. Rarely, similar to the present case, it may mimic ACS, for which treatment is completely different.…”

Section: Discussionsupporting

confidence: 64%

“…Rarely, similar to the present case, it may mimic ACS, for which treatment is completely different. During the early stages of the disease, it is asymptomatic and may be discovered incidentally [1]. Clinical presentation usually depends on the location and size of the cyst [1].…”

Section: Discussionmentioning

confidence: 99%

“…During the early stages of the disease, it is asymptomatic and may be discovered incidentally [1]. Clinical presentation usually depends on the location and size of the cyst [1]. Thus symptoms and signs of cardiac echinococcosis are extremely variable.…”

Section: Discussionmentioning

confidence: 99%

“…The most common sites of the infection are the liver and the lungs. Cardiac involvement of echinococcosis has been reported about 0.5-2% in all hydatid cases [1]. Although cardiac echinococcus is generally asymptomatic until the cysts grow to a large size, it can present with clinical symptoms and signs of myocardial ischemia.…”

Section: Introductionmentioning

confidence: 99%

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Left ventricle hydatid cyst mimicking acute coronary syndrome

Tekbaş

Atılgan

et al. 2011

J Infect Dev Ctries

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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.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Left ventricle hydatid cyst mimicking acute coronary syndrome

Tekbaş

Atılgan

et al. 2011

J Infect Dev Ctries

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“…Heart involvement can result in many clinical features; precordial pain and dyspnoea are frequent revealing symptoms, but patients sometimes present life-threatening conditions like congestive cardiac failure, pericardial tamponade, pulmonary embolism, syncopal attacks, or superior vena cava syndrome. [2][3][4] The combination of imaging and serology (enzyme-linked immunosorbent assay) usually provides an effective diagnosis, although sensitivity is quite low. 5 Transthoracic and transesophageal echocardiography play a central role in diagnosing cardiac hydatid cysts.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Hydatidosis

Neuville

Grisoli²,

Nicoud³

et al. 2010

The American Journal of Tropical Medicine and Hygiene

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A 37-year-old man from Morocco, living in France since 2002, was admitted to the hospital in 2008 with a medical history of dyspnoea, hacking cough, and headaches without fever for several weeks. Physical examination at admission revealed jugular turgor leading to the diagnosis of superior vena cava syndrome. Cardiopulmonary auscultation was normal. There were no complaints of abdominal pain. No lymphadenopathy was palpable. During the past year, he had presented several episodes of pruriginous facial edema that were unsuccessfully treated with corticosteroids. Allergologic explorations were negative. His medical history showed nothing unusual, and he was not taking medication. Laboratory blood tests did not reveal blood-cell count abnormalities, inflammatory syndrome, or abnormalities of liver function. Cardiac ultrasound showed several intracardiac multilocular masses of anechoic content with a well-demarcated capsule, which is very typical of a hydatic cyst. A thoracic computed tomography scan revealed the presence of several lesions: the first was compressing the vena cava, and two others were in the left and right ventricles. Further investigation was performed with cardiac magnetic resonance imaging (MRI) ( Figure 1 ).The characteristic radiological findings associated with a positive serology for echinococcosis led us to diagnose cardiac hydatidosis. Differential diagnoses, principally cystic cardiac tumors, were then eliminated. Parasitic infection was confined to the heart and absent in the liver, lungs, and brain. The patient was treated with albendazole (800 mg daily). The evolution of the lesions was monitored with cardiac echography.

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