Cardiac hydatid cysts with intracavitary expansion

Kaplan, Mehmet; Demirtaş, Murat; Çimen, Serdar; Özler, Azmi

doi:10.1016/s0003-4975(01)02443-2

Cited by 121 publications

(106 citation statements)

References 15 publications

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“…Late recurrence was seen in only one of the 17 patients operated for cardiac hydatid cysts 68 months after the first operation, but there were also cases with early recurrence (2, 5). Kaplan et al had seen no early and late cardiac complications in the follow-up of seven patients surviving cardiac operation (one patient in this series died during operation because of a massive pulmonary embolism) due to hydatid cysts with intracavitary expansion (4). Because of the serious complications mentioned above, surgical excision of the cardiac hydatid cysts is the best treatment.…”

Section: Discussionmentioning

confidence: 65%

Simultaneous Hydatid Cysts of Both the Right Atrium and Right Ventricle

Arslan¹,

Cantürk²,

Duygu³

et al. 2007

Acta Med. (Hradec Kralove, Czech Repub.)

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Echinococcosis is caused by echinococcus granulosis eggs ingested by human beings and thus passing to the portal circulation and reaching the liver and lungs. Other organs, such as the spleen, kidneys, brain, bones or heart, are rarely infested with parasites. Cardiac location is extremely rare (less than 2 %) (3,8). This disease is common in sheep and cattle raising countries. Eosinophilia is not constant and serologic tests (latex agglutination and immunoelectrophoresis) may be negative in hydatidosis.Transthoracic echocardiography (TTE) is a method with well established diagnostic value in cardiac hydatid disease. The right atrial and right ventricular hydatid cysts were found by TTE in a 77-year-old man who had experienced an episode of a transient ischemic attack. Both cysts were removed successfully with surgery to prevent potentially lifethreatening complications. Case reportA 77-year-old man was referred to our clinic for right atrial and right ventricular hydatid cysts. There was no abnormality except for apical holosystolic murmur (grade I/VI) in physical examination. He had a history of liver hydatid cyst operation 17 years ago and was a smoker for 50 years. One month ago, he had been admitted to the neurology department because of right sided neurologic deficit lasting 12 hours. Colour doppler ultrosonography of the carotid arteries identified no lesion that could be an embolic source. At that time, magnetic resonance imaging (MRI) revealed a chronic infarction area in the left occipital lobe and a macroadenoma in the hypophysis. Although diffusion weighted (DW)-MRI identified no acute infarction in the brain, immediate therapy with intravenous heparine 1000 IU/hr and oral coumadine in the following day were begun. Hormonal profile revealed hypothyroidism with a high thyroid stimulating hormone level, normal growth hormone, prolactin, adrenocorticotropic hormone, and cortisole levels. Thyroid hormone replacement was begun after endocrinology consultation. The electrocardiogram showed atrial fibrillation and right bundle branch block. Slight cardiomegaly was present in his chest x-ray. The transthoracic echocardiography for embolic etiology revealed a mobile cyst (3.0x3.5 cm in size) in the right atrium and another large trabeculated partially calcified cyst located on the anterior wall of the right ventricle (4.0x5.0 cm in size) below the tricuspid valve and protruding into both the right atrium and ventricle. When considering the patient's past history, the cystic structure of the lesions reminded the echocardiographer of hydatid disease rather than solid lesions like myxoma or any other infective pathology. There was not any thrombus in the left atrium and ventricle. Mild mitral and aortic insufficiency was seen in colour doppler echocardiography. Transesophagial echocardiography (TEE) confirmed the cardiac cysts and revealed no additional pathology. Cardiac cysts were also demonstrated by computed tomography (CT) and no other cysts in the lungs, liver and great blood vessels were seen. Summary: Hy...

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Section: Discussionmentioning

confidence: 65%

Simultaneous Hydatid Cysts of Both the Right Atrium and Right Ventricle

Arslan¹,

Cantürk²,

Duygu³

et al. 2007

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Diğer yandan sağ kardiyak kist hidatiği subendokardiyaldir, bu nedenle rüptür daha sık görülür. [4] Yerleşim yerine bağlı olarak atriyoventikü-ler blok, anafilaktoid reaksiyonlar ve embolizasyona sekonder klinik bulgular görülebilir. Bizim olgumuz fasiyal paralizi ve parestezi gibi nörolojik bulgularla kliniğimize başvurdu.…”

Section: Discussionunclassified

Interventricular septal ecchinococcosis associated with multiple intracranial hydatid cyst

Özsöyler¹

2015

Turk Gogus Kalp Dama

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ÖZOtuz altı yaşında erkek hasta nörolojik yakınmalarla kliniğimize başvurdu. Yapılan incelemeler sonucunda hastaya eşzamanlı kardiyak ve serebral kist hidatik tanısı konuldu. Ard arda iki farklı cerrahi girişim uygulanarak kalpteki ve beyindeki kistler başarıyla çıkarıldı. Hasta komplikasyonsuz taburcu edildi.Anah tar söz cük ler: Beyin; kalp; kist hidatik. ABSTRACTA 36-year-old male patient applied to our clinic with neurological complaints. As a result of analyses, the patient was diagnosed with concomitant cardiac and cerebral hydatid cyst. Two different subsequent surgical interventions were performed, and cardiac and brain cysts were extracted successfully. The patient was discharged without complications.

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“…Echocardiography, computerized tomography, and magnetic resonance imaging are valuable non-invasive diagnostic tools for cardiac hydatid disease [14]. Serologic tests are also a helpful supplement.…”

Section: Discussionmentioning

confidence: 99%