Dynamic right ventricular outflow tract obstruction by cardiac hydatic cysts: A multimodality imaging study

Gregorio, Cesare de; Ferrazzo, Giuseppe; Ceresa, Fabrizio; Donno, Bruna Filomena De; Patanè, Francesco

doi:10.1002/jcu.22993

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…For these reasons and cardiac tamponade, cardiac vulvar dysfunctions, acute carotid vessel occlusion, and pulmonary risks due to CHC, surgery should not be delayed. Furthermore, a differential diagnosis of cardiac tumors and myxomas should always be excluded before CHC surgery [4,5].…”

Section: Discussionmentioning

confidence: 99%

Surgical excision of the right ventricular hydatid cyst: a case report

ABANOZ,

YAZAR,

TALAY

et al. 2024

The European Research Journal

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Hydatid cyst is described as an endemic situation predominantly observed in different undeveloped regions of the world which is caused by Echinococcus granulosus tapeworm. This disease usually affects the lungs or liver. Cardiac location is reported in less than 2 % to 0.5% of patients in all cases and as in our case the intraventricular location is seen seldomly. A 38-year-old female patient with diagnosed systemic hydatid cyst disease was consulted with chest pain, palpitation, and shortness of breath. Transthoracic echocardiography and cardiac computerized tomography imaging showed the location of the cardiac hydatid cyst was the right ventricle. She underwent elective surgery swiftly and was discharged uneventfully.

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Section: Discussionmentioning

confidence: 99%

Surgical excision of the right ventricular hydatid cyst: a case report

ABANOZ,

YAZAR,

TALAY

et al. 2024

The European Research Journal

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show abstract

“…The prevalence of right ventricular hydatid cysts is low (~10%) compared with the prevalence of left ventricular cysts (60%) (5). Cardiac hydatidosis can cause fatal complications, such as anaphylactic shock, systemic embolism when the cyst is located in the left ventricular outflow tract, or pulmonary embolism when it is located in the right ventricular outflow tract (6)(7)(8). Macroscopically, it has a uni-or multi-cystic cavity, filled with fluid, containing small daughter cysts and hydatid sand (9).…”

Section: Introductionmentioning

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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Dynamic right ventricular outflow tract obstruction by cardiac hydatic cysts: A multimodality imaging study

Cited by 2 publications

References 8 publications

Surgical excision of the right ventricular hydatid cyst: a case report

Surgical excision of the right ventricular hydatid cyst: a case report

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

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