Kyste hydatique du coeur et des vaisseaux, 4 observations

Ghrairi, H.; Khouadja, Mohamed Anis; Abouda, Maher; Ammar, Jamel; Hantous, Saoussen; Kilani, T.; Hamzaoui, A.

doi:10.1016/s0755-4982(05)88236-3

Cited by 15 publications

(8 citation statements)

References 4 publications

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“…It is noted in only 2.6% of cases [9], and is even rare in the absence of liver localization. But according to the study by Maiouak and al on a series of 3 cases, the cardiac origin of pulmonary arterial hydatidosis is most probable in all their patients after highlighting right heart hydatid cysts and moreover it is the most probable mechanism in our case because of the absence of any other location outside of cardiac involvement.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of HTM is based primarily on imaging, including thoracic CT with cardiac synchronization which ensures complete lesion mapping especially the pericardial mediastinal site., pulmonary or intra-arterial, the hydatic cyst of the pulmonary artery manifests itself as a fluid intra-arterial mass with peripheral enhancement after injection of the contrast product [8,9]. Magnetic resonance imaging is better in cases of diagnostic doubt, CT-ETO dissociation and in pseudo-tumoral forms [8,9], the cyst appears as a well-circumscribed intra-arterial lesion of hypointense signal in T1 sequence and hyper-intense in T2 sequence with sometimes a hypo-intense peripheral ring in T2 sequence representing the pericyst [8,9]. The Transthoracic ultrasound (ETT), or better Trans-Esophageal (TEO) is the exams of choice.…”

Section: Discussionmentioning

confidence: 99%

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Multiple Thoracic Hydatidosis with Mediastinal, Cardiac, and Pulmonary Arterial Localization

Amarir¹

2019

Austin J Radiol

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Hydatidosis is a cosmopolitan infection prevalent especially in breeding areas. The lung is the organ most often affected (20-30%) after the liver (60-70%). Pulmonary cysts are unique in 60% of cases but can be multiple. Multiple thoracic hydatidosis is rare, the involvement is exceptional and often associated with other localizations, liver and lung. The increased risk of serious complications and the difficulties of therapeutic management of these forms invite their prognosis hence the interest of the prevention of hydatid disease. This observation highlights the interest of the radiological assessment, to evaluate the multiple thoracic hydatidosis, to establish the diagnosis and to discuss a curative surgical act as well as medical treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multiple Thoracic Hydatidosis with Mediastinal, Cardiac, and Pulmonary Arterial Localization

Amarir¹

2019

Austin J Radiol

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“…Au cours de ces deux dernières années à l'hôpital Erriadh, sept malades ont été opérés pour échinococcoses hydatiques à localisation cardiaque, soit un cas tous les trois mois et demi, ce qui montre bien que les localisations les plus rares théoriquement deviennent de plus en plus fréquentes dans une région endémique comme le Maghreb [3][4][5][6].…”

Section: Discussionunclassified

Kyste hydatique du cœur au CHU Erriadh de Constantine (Algérie). Étude rétrospective de 2008 à 2009

Fendri¹,

Boulacel²,

Brahami

2010

Bull. Soc. Pathol. Exot.

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The hydatic disease is cosmopolitan and is due to the development of the larva of a small tapeworm called Echinococcus granulosus. Although rare, today, there are many cases of hydatic cyst of the heart. Echocardiography and other physical examinations reveal the fluid collection and also specify its exact location on the heart. Our study focused on patients undergoing surgery for hydatic cysts of the heart during the years 2008 and 2009 in Erriadh teaching hospital, where we have collected seven cases over this period. The young average age of patients, 18 years, favors a high incidence. The sex ratio is 0.14. All the heart walls and cavities were the site of hydatic development. In addition, serology for primitive cardiac hydatidosis provided very low levels of antibodies. The cystic echinococcosis remains a scourge. The cardiac localization remains a very severe disease. The management of patients is very complex. The hydatic cyst of the heart affects teenagers and young adults. It is the main cause for long-term, major complications. In patients from endemic areas and for any patient who developed hydatidosis, it is essential to conduct a systematic search for localization by cardiac echocardiography. This simple measure can manage patients more quickly and avoid complications with socioeconomic consequences.

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“…A 35-year-old patient with no notable pathological history was admitted to our department via the emergency room for acute anterior chest pain. The cardiac localization of the HC is characterized by its important clinical polymorphism; the most common symptoms are precordialgia and dyspnea [15,16,18]. More rarely, it may be palpitations, haemoptysis, signs of right heart failure, pseudo-anginal acute pain often medio-thoracic and sometimes retro-sternal in relation with ischemia of the right ventricle [15,16,18].…”

Section: Observationmentioning

confidence: 99%

“…Surgery is the standard treatment for cardiac hydatidosis [15,16,18,19,25]. reduce the risk of secondary dissemination and posto-peratively to prevent recurrence [18,25].…”

Section: Echocardiographymentioning

confidence: 99%

An Unexpected Etiology of Myocardial Ischemia in Young

Bouomrani

Souissi

Guermazi

et al. 2019

JHC

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Introduction The cardiac localization of hydatid cyst (HC) is rare and little known. It is exceptionally primary and isolated. Myocardial ischemia remains an exceptional and unusual manifestation of this localization. We report the original observation of cardiac HC revealed by acute myocardial ischemia in a young subject. Observation A 35-year-old patient with no notable pathological history was admitted to our department via the emergency room for acute anterior chest pain. The somatic examination was without abnormalities as well as the baseline biological tests. The electrocardiogram demonstrated epicardial ischemia in the infero-lateral territory without other abnormalities. The cardiac troponin I was slightly elevated (32ng/l, N<19ng/l). Subsequent controls after 30min, 60min and 180min did not show significant variations. Subsequent investigations (CT, coro-CT, coronary angiography) led to the diagnosis of intramyocardial HC of the left ventricle, with no abnormalities of the coronary arteries. After surgical excision, the evolution was favorable with normalization of the electrocardiogram and the troponin Ic. Conclusion Cardiac localization of this parasitosis is exceptional and characterized by an important clinical polymorphism making its diagnosis a real challenge. It seems useful to discuss the diagnosis of cardiac HC in front of any unexplained electrocardiogram abnormality occurring in endemic zone.

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Kyste hydatique du coeur et des vaisseaux, 4 observations

Cited by 15 publications

References 4 publications

Multiple Thoracic Hydatidosis with Mediastinal, Cardiac, and Pulmonary Arterial Localization

Multiple Thoracic Hydatidosis with Mediastinal, Cardiac, and Pulmonary Arterial Localization

Kyste hydatique du cœur au CHU Erriadh de Constantine (Algérie). Étude rétrospective de 2008 à 2009

An Unexpected Etiology of Myocardial Ischemia in Young

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