Hydatid Cyst of the Heart: Clinical and Surgical Implications

Gulà, G; Vs, Luisi; Machado, FR; Yacoub, Magdi

doi:10.1055/s-0028-1096284

Cited by 10 publications

(5 citation statements)

References 5 publications

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“…The cystic content should be aspirated carefully, and with the addition of the hypertonic saline solution or other agents, the cystic content should be rapidly and completely sterilized. [10,11] It is best, of course, to avoid creating a septal defect when treating septal cysts. Therefore, the remaining cyst cavity should be carefully inspected.…”

Section: Discussionmentioning

confidence: 99%

Cardiac hydatid cyst revealed by complete heart block

Yılmaz¹

2013

Turk Gogus Kalp Dama

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Kardiyak kist hidatik nadir görülen bir hastalıktır. İnterventriküler yerleşimli kistler genellikle asemptomatik olmakla birlikte, nadir olarak interventriküler septum tutulduğunda, iletim yollarının basısına bağlı olarak atriyoventriküler (AV) bloklar veya senkop atakları gibi semptomlar görülebilir. Kistin cerrahi olarak çıkarılması, bu hastalıkta en çok tercih edilen tedavi yöntemidir. Bu yazıda interventriküler septumdan kaynaklanan, tam AV blok ile kendini gösteren ve cerrahi rezeksiyon ile erken ameliyat sonrası dönemde kalıcı pacemaker implantasyonu yapılan 43 yaşında bir kadın olgu sunuldu. Cardiac hydatid cyst is an unusual disease. Although interventricular septal cysts are usually asymptomatic, in rare instances where cardiac echinococcal cysts involve the interventricular septum, they may cause symptoms related to compression of the conduction pathway such as atrioventricular (AV) block and syncopal attacks. Surgical removal of the cyst is the most favorable therapeutic method in this disease. In this article, we report a 43-year-old female case of cardiac hydatid cyst originating from interventricular septum presenting with AV block and managed by surgical removal and implantation of permanent pacemaker during the early postoperative period.

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Section: Discussionmentioning

confidence: 99%

Cardiac hydatid cyst revealed by complete heart block

Yılmaz¹

2013

Turk Gogus Kalp Dama

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“…There have been few serious consequences encountered from obstruction of the cardiac valves by a cyst, or from compression of the conduction system or great veins. [8][9][10][11] There have been major surgical implications from rupture, with systemic or pulmonary embolization, pericardial dissemination, purulent infl ammation, and sepsis. 11,12 In treating the disease surgically, these problems account for a greater mortality than death from anaphylaxis and heart failure.…”

Section: Discussionmentioning

confidence: 99%

Cardiac and Pericardial Echinococcosis: Report of 15 Cases

Murat

Qian

Guo

et al. 2007

Asian Cardiovasc Thorac Ann

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Between 1978 and 2002, 15 patients (mean age, 23.0 +/- 8.5 years) with cardiac and pericardial echinococcosis were treated surgically. The cysts were located in the right atrium in 3 patients, on the anterior myocardium in 7, and pericardially in 5. The 3 patients with right atrial cysts were operated on using cardiopulmonary bypass. There were 4 recurrences requiring re-operation after a mean of 12 months. All other patients received mebendazole treatment and exhibited no recurrence during follow-up. One late death due to chronic right heart failure occurred after 10 months of follow-up. The serologic test is an effective method of diagnosis in undeveloped and developing countries.

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“…Recurrences in the myocardium are exceptional [81], as this is not the usual site of secondary cardiac hydatid cysts. Pericardial recurrences are more frequent [70,71] and occurred in two of our patients.…”

Section: Long-term Follow-up Care and Complicationsmentioning

confidence: 99%

Cardiopericardial Hydatid Cysts

et al. 2001

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Cardiac hydatic cyst is a rare parasitic disease. We reported 45 patients with cardiac hydatid cysts; 33 of the 45 had a primitive, unique cardiac cyst. Altogether, 18 patients of our series were asymptomatic, and 27 patients complained of symptoms (dyspnea, chest pain, palpitations). In 11 cases the cyst was revealed by an acute complication; 3 of the 11 had pulmonary metastatic hydatidosis. The diagnosis was based on a series of test results in which hydatid serology and imaging (echocardiography, computed tomography, magnetic resonance imaging) played a predominant role. Cystopericystectomy is the gold standard procedure but is sometimes unsuitable for particular sites. In that case, a conservative approach (partial pericystectomy) is mandatory to preserve organ function. The operative mortality rate is 5.5%. Two pericardial recurrences were reported during follow-up.

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Hydatid Cyst of the Heart: Clinical and Surgical Implications

Cited by 10 publications

References 5 publications

Cardiac hydatid cyst revealed by complete heart block

Cardiac hydatid cyst revealed by complete heart block

Cardiac and Pericardial Echinococcosis: Report of 15 Cases

Cardiopericardial Hydatid Cysts

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