Surgical Treatment of Cardiac Echinococcosis: Report of Eight Cases

Onursal, Ertan; Elmaci, Türkan; Tirelı, Emin; Dindar, Aygün; Atılgan, Dursun; Özcan, Mustafa

doi:10.1007/s005950170153

Cited by 33 publications

(12 citation statements)

References 15 publications

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“…But, the echolucent and multiseptate nature of hydatid cysts may sometimes be absent, and they may appear as a tumour-like mass (2,9). The recommended treatment is excision of the cyst because of the possibility of severe complications, including cyst rupture and sudden death, even in asymptomatic patients (6,7,10).…”

Section: Discussionmentioning

confidence: 99%

Pericardial hydatid cyst presenting with cardiac tamponade

Kösecik¹,

Karaoğlanoğlu

Yamak

2006

Canadian Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Pericardial hydatid cyst presenting with cardiac tamponade

Kösecik¹,

Karaoğlanoğlu

Yamak

2006

Canadian Journal of Cardiology

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“…According to previous studies, the primary locations include the myocardium of the left ventricle (50%) and interventricular septum (20%). The atria, right ventricle, and pericardium are rare locations [4,9]. The left ventricle is involved more often than the right ventricle, possibly because of left coronary artery dominance, which provides optimal conditions for parasite growth and survival [5].…”

Section: Discussionmentioning

confidence: 99%

Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature

Xing

Bawudong

Zhang

et al. 2011

Int J Cardiovasc Imaging

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Cardiac hydatid cysts are uncommon but potentially fatal. We present a case of isolated unilocular and multivesicular hydatid cysts in the heart, and provide a literature review of this rare condition. A 35-year-old man presented to our cardiology unit with acute chest pain. Computed tomography showed two cystic lesions in the heart. One unilocular cyst was located close to the left atrium and compressed the pulmonary artery. The other multivesicular cyst adhered to the left ventricle and displaced the left coronary arteries. T2-weighted magnetic resonance images revealed lesions in the pericardial cavity with bright signal intensity. Dot immunogold filtration assay was performed, and positive results for anti-EgCF antibody, anti-EgP antibody and anti-EgB antibody for cystic hydatidosis were found. Cardiac hydatidosis was diagnosed because of typical imaging findings and positive serology. The patient underwent surgical excision of the cysts. Postoperatively, symptoms of the patient resolved.

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“…Most frequently CE presents with thoracic pain or dyspnea, as observed in our series, but the clinical presentation of cardiac CE may range from asymptomatic to life-threatening events. Asymptomatic subjects represent 3–5% of cases and in these cases cysts are not usually located in a critical anatomical site [41]. This may be compared with hepatic CE where up to 50% of cases may be asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Management and Outcome of Cardiac and Endovascular Cystic Echinococcosis

et al. 2012

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BackgroundCystic echinococcosis (CE) can affect the heart and the vena cava but few cases are reported.MethodsA retrospective case series of 11 patients with cardiac and/or endovascular CE, followed-up over a period of 15 years (1995–2009) is reported.ResultsMain clinical manifestations included thoracic pain or dyspnea, although 2 patients were asymptomatic. Cysts were located mostly in the right atrium and inferior vena cava. Nine patients were previously diagnosed with disseminated CE. Echocardiography was the diagnostic method of choice, although serology, electrocardiogram, chest X-ray, computed tomography/magnetic resonance imaging and histology aided with diagnosis and follow-up. Nine patients underwent cardiac surgery and nine received long-term antiparasitic treatment for a median duration of 25 months (range 4–93 months). One patient died intra-operatively due to cyst rupture and endovascular dissemination. Two patients died 10 and 14 years after diagnosis, due to pulmonary embolism (PE) and cardiac failure, respectively. One patient was lost to follow-up. Patients who had cardiac involvement exclusively did not have complications after surgery and were considered cured. There was only one recurrence requiring a second operation. Patients with vena cava involvement developed PEs and presented multiple complications.ConclusionsCardiovascular CE is associated with a high risk of potentially lethal complications. Clinical manifestations and complications vary according to cyst location. Isolated cardiac CE may be cured after surgery, while endovascular extracardiac involvement is associated with severe chronic complications. CE should be included in the differential diagnosis of cardiovascular disease in patients from endemic areas.

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Surgical Treatment of Cardiac Echinococcosis: Report of Eight Cases

Cited by 33 publications

References 15 publications

Pericardial hydatid cyst presenting with cardiac tamponade

Pericardial hydatid cyst presenting with cardiac tamponade

Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature

Management and Outcome of Cardiac and Endovascular Cystic Echinococcosis

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