Case Report: Sudden death related to unrecognized cardiac hydatid cyst

Mesrati, Med Amin; Mahjoub, Yosra; Abdejlil, Nouha Ben; Boussaïd, Marwa; Belhaj, Meriem; Limem, Hiba; Chadly, Ali; Zakhama, A.; Aissaoui, Abir

doi:10.12688/f1000research.23277.1

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Patients may be asymptomatic for many years, while in other patients, symptoms may develop when there is a mechanical obstruction, for example, coronary artery compression, or if the conduction system is compromised by the expanding cyst. Serious complications include cyst rupture leading to acute anaphylactic shock and death, cardiac tamponade also due to a rupture or an expanding cyst, cerebral or peripheral arterial embolism, acute coronary syndrome, arrhythmias, ventricular dysfunction, valvular regurgitation, and sudden unexplained death (12)(13)(14)(15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report

Nguyen

Pham

Duong

et al. 2022

Front. Cardiovasc. Med.

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Cardiac echinococcosis is a potentially fatal form of hydatid disease; yet, its diagnosis and treatment are challenging due to the variability in its clinical manifestations and due to its various unpredictable preoperative complications. Multi-modality imaging is shown to provide important guidance for the treatment and decision-making. We report a rare case of a 50-year-old woman who had concomitant cardiac and hepatic hydatid cysts. She presented with abdominal pain and elevated eosinophilic white blood cells. The initial abdominal ultrasound and computerized tomography revealed a large cyst in the liver. An intramyocardial cyst was detected by two-dimensional echocardiography. Three-dimensional echocardiography increased the confidence level of two-dimensional echocardiography by displaying the three-dimensional volume of the cyst and allowing visualization of its spatial characteristics and the relationships with adjacent cardiac structures, which was subsequently confirmed at surgery. Multi-detector computed tomography and magnetic resonance imaging helped localize and define the typical morphological features of the cyst. Serology and antigen detection were used for diagnosis. This rare case underlines the integration of clinical, multi-modality imaging, and pathological data in the diagnosis of concomitant intramyocardial and hepatic hydatid cysts. Surgical resection of cysts and anthelmintic medication were successful in the management of this patient.

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Section: Discussionmentioning

confidence: 99%

Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report

Nguyen

Pham

Duong

et al. 2022

Front. Cardiovasc. Med.

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“…Most of the patients were followed-up for 12 months (surgical and non-surgical patients). A total of four patients died shortly after diagnosis; three deaths were caused by postoperative complications and one was caused by stroke (20,34,41,53).…”

Section: Literature Reviewmentioning

confidence: 99%

Cardiac hydatid cysts in a young man: A case report and a literature review

et al. 2022

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Cystic hydatid disease commonly affects the liver and lungs. Cardiac hydatid cysts are a rare occurrence and can cause fatal complications, including anaphylactic shock, systemic or pulmonary embolism, dissemination, arrhythmias, valvular dysfunction or sudden death. The case of a 19-year-old male from a rural area who was admitted to the emergency room with anaphylactic shock is presented in the current study. The patient was subsequently referred to the Department of Pneumology due to a mild fever, a dry cough and thoracic pain. Pneumonia was suspected and antibiotics were administered. As the patient didn't respond to the antibiotics, a pulmonary CT-scan was performed, which demonstrated a bilateral pulmonary embolism of the segmental arteries and the patient was referred to the Department of Cardiology. Transthoracic echocardiography (TTE) demonstrated the presence of a right ventricular mass of ~25x18 mm, attached to its free wall, adjacent to the tricuspid valve causing no tricuspid inflow obstruction. Blood tests were positive for echinococcal infection. Considering that previous reviews had included cases published up until 2018, the present study also included a short literature review of the studies published between 2018 and 2021. The review showed that cardiac hydatid cysts are diagnosed more often in underdeveloped countries, especially in men. Transthoracic echocardiography is the most useful non-invasive imaging technique for diagnosis. Surgery is the treatment of choice, but consideration must be given to the risk-benefit ratio and the shared decision-making approach. The complete surgical removal of the cyst(s) is the major prognosis factor of the cardiac manifestation. This study emphasizes the importance of considering cardiac echinococcosis as a potential diagnosis in patients from endemic or farming areas.

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A large intracardiac hydatid cyst with concomitant cervical and hepatic involvement: A case report

Faramarzpour

Jafari

Rahmanian

et al. 2023

Clinical Case Reports

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Key Clinical Message Cardiac hydatidosis is a relatively rare complication of echinococcosis. Understanding the atypical manifestations, potential associated risk factors, and epidemiology leads to optimal and timely management. Abstract Cardiac hydatidosis is a relatively rare complication of echinococcosis, with a potentially life‐threatening condition. Here, we reported a large interventricular septal hydatid cyst bulging in the left ventricle accompanied by a huge cervical lamp with recurrent hepatic cysts that underwent cardiac surgery to excise the cyst uneventfully.

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Case Report: Sudden death related to unrecognized cardiac hydatid cyst

Cited by 3 publications

References 12 publications

Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report

Concomitant intramyocardial and hepatic hydatid cysts diagnosed by multi-modality imaging: A rare case report

Cardiac hydatid cysts in a young man: A case report and a literature review

A large intracardiac hydatid cyst with concomitant cervical and hepatic involvement: A case report

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