The clinical and surgical features of right-sided intracardiac masses due to echinococcosis

Görmüş, Niyazi; Yeniterzi, Mehmet; Telli, Hasan Hüseyin; Solak, Hasan

doi:10.1007/s00380-003-0732-x

Cited by 35 publications

(24 citation statements)

References 11 publications

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“…Albendazole alone or in combination with praziquantel can be used as prophylactic chemotherapy. [12] However, most surgeons prefer not to use combined chemotherapy unless the surgical field is contaminated with the cystic material.…”

Section: Discussionmentioning

confidence: 99%

Cardiac hydatid cyst revealed by complete heart block

Yılmaz¹

2013

Turk Gogus Kalp Dama

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Kardiyak kist hidatik nadir görülen bir hastalıktır. İnterventriküler yerleşimli kistler genellikle asemptomatik olmakla birlikte, nadir olarak interventriküler septum tutulduğunda, iletim yollarının basısına bağlı olarak atriyoventriküler (AV) bloklar veya senkop atakları gibi semptomlar görülebilir. Kistin cerrahi olarak çıkarılması, bu hastalıkta en çok tercih edilen tedavi yöntemidir. Bu yazıda interventriküler septumdan kaynaklanan, tam AV blok ile kendini gösteren ve cerrahi rezeksiyon ile erken ameliyat sonrası dönemde kalıcı pacemaker implantasyonu yapılan 43 yaşında bir kadın olgu sunuldu. Cardiac hydatid cyst is an unusual disease. Although interventricular septal cysts are usually asymptomatic, in rare instances where cardiac echinococcal cysts involve the interventricular septum, they may cause symptoms related to compression of the conduction pathway such as atrioventricular (AV) block and syncopal attacks. Surgical removal of the cyst is the most favorable therapeutic method in this disease. In this article, we report a 43-year-old female case of cardiac hydatid cyst originating from interventricular septum presenting with AV block and managed by surgical removal and implantation of permanent pacemaker during the early postoperative period.

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Section: Discussionmentioning

confidence: 99%

Cardiac hydatid cyst revealed by complete heart block

Yılmaz¹

2013

Turk Gogus Kalp Dama

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“…Humans can be infected by ingesting eggs, from which cysts develop in the liver and lung. Echinococcosis is mostly endemic in sheep-farming areas of the Middle East, South America, Oceania and along the Mediterranean coast [198].…”

Section: Hydatid Cysts Incidencementioning

confidence: 99%

Nonthrombotic pulmonary embolism

Jorens¹,

Marck²,

Snoeckx³

et al. 2009

Eur Respir J

162

127

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Nonthrombotic pulmonary embolism (NTPE) is defined as embolisation to the pulmonary circulation of different cell types (adipocytes, haematopoietic, amniotic, trophoblastic or tumour), bacteria, fungi, foreign material or gas. The purpose of this article is to describe the clinical signs, pathogenesis, diagnosis and treatment of the different NTPE subtypes.The complex and diverse pathogenesis of different subtypes of emboli is subject to continuing speculation and is certainly far more complex than ''simple'' mechanical obstruction after embolisation of vascular thrombi. Nonthrombotic emboli may also lead to a severe inflammatory reaction both in the systemic and pulmonary circulation, as well as in the lung.NTPE presents a formidable diagnostic challenge, as the condition often presents with very unusual and peculiar clinical signs that are frequently overlooked. They range from very dramatic acute presentations such as acute respiratory distress syndrome to signs observed late in the disease course. Pathological observations play a key role in the exact diagnosis, and sometimes carefully aspirated blood from the pulmonary artery or specific staining of cells recovered from bronchoalveolar lavage fluid may be helpful. Frequently, lung biopsies revealing severe granulomatous reaction or unfortunate post-mortem pathological investigations of pulmonary tissue are necessary to confirm the diagnosis. Here, we also aim to familiarise the reader with the atypical radiological features of NTPE. Thin-section computed tomography of the lungs showing peculiar radiographic findings, such as a feeding vessel, the so-called tree-in-bud pattern or the appearance of micronodules distributed at the termination of bronchovascular bundles, may be observed in certain forms of NTPE.Increased awareness of NTPE as an underestimated cause of acute and chronic embolism, which may result in acute and chronic pulmonary hypertension, is needed. Despite the fact that detailed descriptions of several forms of NTPE have existed for nearly 100 years, well-designed trials have never been performed to evaluate therapy in the different subsets of these patients.

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“…En somme, l'IRM permet le plus souvent non seulement d'assoir le diagnostic positif mais aussi de guider le geste chirurgical qui s'avère urgent [5,14]. Les antihelminthiques gardent une place de traitement adjuvant ou néo-adjuvant à la chirurgie, voire exclusif en cas de contre-indication formelle à celle-ci (le cas de notre deuxième patiente chez laquelle le kyste adhérait au plan myocardique).…”

Section: Discussionunclassified