Cardiac Tamponade by Hydatid Pericardial Cyst: A Rare Case Report

Paswan, Anil Kumar; Prakash, S.; Dubey, Rajeev K.

doi:10.5812/aapm.9137

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…They tend to expand inside the right ventricular cavity and in the subendocardial space and are more prone to rupture, which can lead to pulmonary embolism, anaphylaxis and sudden death. Left ventricular hydatid cysts grow as subepicardial masses and rarely rupture in the pericardial space [19,20] .The endocardium is easily invaded by hydatid cyst for the obvious reason that endocardium does not give inflammatory reaction like the pericardium [21] . Septal cyst can cause atrioventricular (AV) block by conduction disturbance [22] .…”

Section: Cardiac Hydatid Cystmentioning

confidence: 99%

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Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Kankılıç¹,

Aydın²,

Günendi³

et al. 2020

Braz J Cardiovasc Surg

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Introduction: Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, most commonly seen in the liver and lungs. The hydatid cyst is rarely seen in the heart and iliofemoral region, representing less than 2% of all cases. In this article, we report our cases of hydatid cysts in unusual loci. Methods: Between 2015 and 2018, 6 rare cases of hydatid cysts were diagnosed at the Cardiovascular Surgery Department of Harran University. Four of these patients had cardiac localization and two patients had their cysts located in the iliofemoral region, extending to the pelvic zone. All patients were female. Three patients had no other organ involvement. One patient with cardiac hydatid cyst underwent normothermic cardiopulmonary bypass + total pericystectomy + Cooley-like aneurysmectomy. Total pericystectomy was performed in three other patients with intrathoracic locus by normothermic cardiopulmonary bypass. Two patients who were referred to our clinic with palpable iliofemoral mass were evaluated with appropriate imaging methods and diagnosed accordingly. Multiple iliofemoral cysts were managed with pericystectomy and drainage by a single incision made over the inguinal ligament. Conclusion: Hydatid cyst disease can develop in cardiac chambers and inguinal region with or without hepatic or pneumatic involvement. Normothermic cardiopulmonary bypass can be safely used in patients with cardiac hydatid cysts, and capitonnage similar to ventricular aneurysm repair in patients with a widely involved cystic lesion can be very useful for the protection of ventricular functions.

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Section: Cardiac Hydatid Cystmentioning

confidence: 99%

“…Generally, the symptoms of the hydatid cyst only occur when the cyst expands. Patient symptoms can include allergic reactions [24] , heart failure [25] , exertional angina [26] , arrhythmias [27] , heart block [20,28] , cardiac tamponade [21] and sudden death [29] .…”

Section: Cardiac Hydatid Cystmentioning

confidence: 99%

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Kankılıç¹,

Aydın²,

Günendi³

et al. 2020

Braz J Cardiovasc Surg

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“…Hemorrhage within the pericardial cyst 39 , 55 , 56 , 63 III. Hydatid pericardial cyst rupture 64 4. Sudden cardiac death 65 5.…”

Section: Diagnosismentioning

confidence: 99%

Current concepts of diagnosis and management of pericardial cysts

Kar

Ganguly

2017

Indian Heart Journal

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Pericardial cysts are rare with an incidence of about 1 in every 100,000 persons and one in 10 pericardial cysts may actually be a pericardial diverticulum. Pericardial cysts and diverticula share similar developmental origin and may appear as an incidental finding in chest roentgenogram in an asymptomatic patient. CT scan is considered as best modality for diagnosis and delineation of the surrounding anatomy. Cardiac MRI is recommended in the evaluation of the compressive effects caused by the pericardial cysts. The authors recommend echocardiography for serial follow up and image guided aspiration of the pericardial cyst in presence of compressive effects leading to cardiovascular and airway symptoms. A systematic approach is desirable for management of pericardial cysts depending on size, shape and compression effects, symptoms and easy access to serial Echocardiographic follow up. However, pericardial diverticulum may not be differentiated from cysts by the above testing, and only identified at surgery.

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“…Given the progressive impairment of renal function in patients suffering from ADPKD, it is imperative to assess kidney function in patients with pericardial cysts who are suspected of having ADPKD before surgery [13]. Although pericardial hydatid cysts are rare, elevated levels of immunoglobulin E, the presence of eosinophilia and increased serum levels of liver enzymes suggest the diagnosis of hydatid cyst in high-risk patients with intrathoracic cysts [14].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium

Gharedaghi

Ahmadi

Khorasani

et al. 2019

Case Reports in Anesthesiology

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Pericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We report on a 57-year-old man with an asymptomatic 9 cm pericardial cyst that was incidentally found as an abnormal cardiac silhouette on routine chest radiography. Further imaging confirmed the presence of a pericardial cyst that was compressing the right atrium. The patient underwent successful video-assisted thoracoscopic removal of the pericardial cyst under general anesthesia. The patient’s postoperative course was uneventful and he was discharged on postoperative day 1 in a stable condition. To our knowledge, this is the first report regarding the anesthetic management of a patient with a giant pericardial cyst undergoing thoracic surgery. Knowledge regarding the perioperative challenges associated with the removal of pericardial cysts can prevent complications and improve patient outcomes.

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Cardiac Tamponade by Hydatid Pericardial Cyst: A Rare Case Report

Cited by 9 publications

References 6 publications

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Unusual Hydatid Cysts: Cardiac and Pelvic-Ilio femoral Hydatid Cyst Case Reports and Literature Review

Current concepts of diagnosis and management of pericardial cysts

Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium

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