Coronary narrowing secondary to compression by pericardial hydatid cyst

Karadede, Aziz; Alyan, Ömer; Sucu, Murat; Karahan, Zülküf

doi:10.1016/j.ijcard.2006.11.174

Cited by 16 publications

(9 citation statements)

References 12 publications

(14 reference statements)

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“…There are very few case reports of hydatid cyst presenting as an ACS. Most of them are either pericardial cysts compressing coronaries or ruptured cysts 7 8. The case reported here is of particular interest because its presentation as an ACS may misdirect diagnosis and its recognition, which is important in planning therapeutic strategies.…”

Section: Discussionmentioning

confidence: 94%

Cardiac hydatidosis presenting as an acute coronary syndrome

Sogunuru¹,

Chinta³

et al. 2010

Case Reports

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A 56-year-old man presented as an acute coronary syndrome. A transthoracic echocardiography (TTE) performed to assess left ventricular (LV) function revealed multiple hydatid cysts in the right ventricular cavity compressing the interventricular septum. CT scan for chest and abdomen revealed similar cysts in right-lung apex and left lobe of liver. A polyvisceral involvement in the setting of multiple cardiac cysts suggested cardiac hydatidosis as the most probable diagnosis. CT coronary angiography was normal. A preoperative oral albendazole therapy was initiated. Later the patient underwent elective surgery, 'Evaculation of RV Hydatid Cysts and Obliteration of Cavity with Bovine Pericardium'. His postoperative recovery was good. Regular exercise, chest physiotherapy, a life-long anticoagulation therapy and antibiotic prophylaxis for invasive procedures were recommended. Patient was scheduled for regular follow-up, to check for any recurrences or late complications.

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Section: Discussionmentioning

confidence: 94%

Cardiac hydatidosis presenting as an acute coronary syndrome

Sogunuru¹,

Chinta³

et al. 2010

Case Reports

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“…They then travel along with the bloodstream and develop cystic lesions in one or more organs. Cysts usually affect the liver and lungs, but other organs may also be involved such as thyroid, mediastinum, and the heart . Cardiac echinococcosis is rare, but when present, the cysts are mostly intramyocardial, in the interventricular septum or left ventricular free wall.…”

Section: Discussionmentioning

confidence: 99%

“…Cysts usually affect the liver and lungs, but other organs may also be involved such as thyroid, mediastinum, and the heart. 3 Cardiac echinococcosis is rare, but when present, the cysts are mostly intramyocardial, in the interventricular septum or left ventricular free wall. Although cardiac echinococcosis is usually asymptomatic in its early stages, cyst development in some locations adjacent to essential cardiac structures may cause a variety of symptoms and signs, such as dyspnea, chest pain, arrhythmia, embolisms, heart failure, and anaphylactic shock.…”

Section: Discussionmentioning

confidence: 99%

Huge right ventricular outflow echinococcosis presenting as acute coronary syndrome

Xiong

Liu

Wang

et al. 2016

J of Clinical Ultrasound

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Hydatid disease is a human parasitic infection caused by larvae of Echinococcus granulosus in various sheep- and cattle-raising areas. It can be found commonly in the liver and lungs, but rarely involves the heart. In this report, we present an unusual case in which cardiac echinococcosis mimicked acute coronary syndrome by compressing the right ventricular outflow tract. The patient was referred to our emergency room for typical angina. His electrocardiogram revealed ischemic changes, but coronary angiography was normal. The diagnosis of cardiac echinococcosis was made by transthoracic echocardiography and contrast-enhanced CT and confirmed by pathologic examination. The patient accepted cardiac surgery for resection of the cyst. The postoperative period and follow-up were uneventful. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:518-521, 2016.

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“…Cardiac involvement is very rare (0.5–2%). Although most patients with a cardiac hydatid cyst are asymptomatic, large myocardial hydatid cysts may compress the surrounding heart muscle and cause myocardial ischemia [2]. Echocardiography, CT and cardiac MRI are sensitive for diagnosis of cardiac hydatid cyst.…”

mentioning

confidence: 99%