Role of transesophageal echocardiography in diagnosis and management of cardiac hydatid cyst: Report of three cases and review of the literature

Atılgan, Dursun; Kudat, Hasan; Tükek, Tufan; Özcan, Mustafa; Yildirim, Okan B.; Elmaci, Türkan; Onursal, Ertan

doi:10.1067/mje.2002.120507

Cited by 34 publications

(32 citation statements)

References 11 publications

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“…Due to the non-specific symptoms or the complete asymptomatic phase at the beginning of the disease, first medical consultation of patients suffering from cardiac echinococcosis often takes place after an acute cyst rupture. Following the physiological coronary circulation, hydatid cysts are frequently found in the left ventricle (55%–60%) and also in the right ventricle (15%), the left atrium (8%), the interventricular septum (5–9%), the pericardium (8%) or in the pulmonary arteries (7%) 11–14 16 17. Depending on the location, acute cyst rupture can cause pulmonary embolism with right heart failure (when the cyst is located in the right ventricular outflow tract) and arterial embolism into the brain, aorta and arteries of the extremities (when located in the left ventricular outflow tract) 17 21–23.…”

Section: Symptoms Of Patients Suffering From Cardiac Echinococcosismentioning

confidence: 99%

“…In addition, the classification can help in monitoring the activity of cardiac hydatid cysts in patients refusing a surgical removal. Importantly, TEE is more specific than TTE 16. However, in addition to ultrasound, MRI and CT scans are key imaging methods as they provide very reproducible results and are absolutely essential for exact surgical removal of the cysts.…”

Section: Diagnosis Of Cardiac Echinococcosismentioning

confidence: 99%

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Diagnosis and treatment of cardiac echinococcosis

Kahlfuß¹,

Flieger²,

Roepke

et al. 2016

Heart

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Cardiac echinococcosis is a rare manifestation of cystic echinococcosis (CE) caused by the tapeworm Echinococcus granulosus Among all patients suffering from CE, only 0.5%-2% exhibit a cardiac involvement. In addition, during the past years the number of CE cases reported in Western Europe remained roughly unchanged. However, we postulate that cases of CE in Western Europe will increase due to a growing number of refugees coming from endemic areas such as Southern Europe, Eastern Europe and the Middle East. Importantly, although cardiac echinococcosis is rare the disease can lead to many clinical complications, for instance acute heart failure and life-threatening arrhythmias. With respect to the increasing relevance of cardiac echinococcosis in Western Europe and the danger of fulminant disease courses, here we review diagnosis strategies and treatment options of the disease. Diagnosis of cardiac echinococcosis requires a detailed evaluation of the patients' case history, specific laboratory analyses and radiological imaging methods. Ultrasound, MRI and CT are key imaging tools for diagnosis, therapy control, prognosis estimation and disease course control. For the therapy of cardiac echinococcosis, a combination of surgical removal and drug treatment should be applied to symptomatic as well as asymptomatic patients. The complete surgical removal of the cyst(s) is the major prognosis factor of the cardiac manifestation of CE.

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Section: Symptoms Of Patients Suffering From Cardiac Echinococcosismentioning

confidence: 99%

Section: Diagnosis Of Cardiac Echinococcosismentioning

confidence: 99%

Diagnosis and treatment of cardiac echinococcosis

Kahlfuß¹,

Flieger²,

Roepke

et al. 2016

Heart

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“…4 In cases of heart echinococcosis, pericystectomy is a rare manipulation due to concern about the removal of significant myocardial mass, haemorrhage and damage of the heart structures. 3 Enucleation, aspiration, and cystectomy are among the specific surgical procedures for cardiac hydatids. 4 Each operation has two phases: removal of the cyst and treatment of the cyst, and treatment of the residual cavity.…”

Section: Resultsmentioning

confidence: 99%

The Curative Excision of Left Ventricular Hydatic Cyst

Tiryakioğlu

Vural

Özyazicioğlu

2009

Heart, Lung and Circulation

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“…Transthoracic echocardiography, TC and MR can be successfully employed in cardiac hydatidosis diagnosis; other more invasive techniques are available, but the risk related to cyst rupture could be high, possibly resulting in anaphylactic shock or systemic contamination. In the patient described here, cardiac MR imaging was the most reliable technique to identify cyst findings and anatomical connection with cardiac tissue [18,19] . Diagnosis and appropriate surgical excision of pulmonary and cardiac cysts prevented potentially lethal complications, which are more likely in cases of fertile forms such as multivesicular cysts with daughter cysts.…”

Section: Discussionmentioning

confidence: 99%

Multiple Pulmonary and Multivesicular Interatrial Septum Hydatid Cysts in A Native Italian Patient

Romano¹,

Giordano²,

Follis³

et al. 2008

American J. of Infectious Diseases

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Multivesicular, pulmonary and cardiac hydatidosis are rarely observed and can give rise to serious complications. Cysts can remain asymptomatic for a long time, until they reveal themselves perforating into cardiac chambers and/or pulmonary arteries or the systemic circulation. A rare case of multivesicular interatrial septum hydatid cyst with multiple pulmonary involvement in a native Italian farm labourer is reported. Clinical, radiological, serological and histological findings are described. MR imaging showed the exact anatomic location and the multivesicular nature of the cardiac cyst and was useful in planning surgical treatment. A successful outcome was achieved with a combination of pre-and post-operative albendazole therapy and a three-step surgery procedure. The patient made a rapid recovery and his post-operative period was totally uneventful. This case highlights the importance of an early multidisciplinary surgical approach and long-term chemotherapy treatment of this serious and rare disease. MR Imaging was crucial in the pre-surgical and follow-up observations.

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Role of transesophageal echocardiography in diagnosis and management of cardiac hydatid cyst: Report of three cases and review of the literature

Cited by 34 publications

References 11 publications

Diagnosis and treatment of cardiac echinococcosis

Diagnosis and treatment of cardiac echinococcosis

The Curative Excision of Left Ventricular Hydatic Cyst

Multiple Pulmonary and Multivesicular Interatrial Septum Hydatid Cysts in A Native Italian Patient

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