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Cardiac hydatid cyst in left ventricular free wall

We report a rare case of a cardiac hydatid cyst that was incidentally found during routine work up for a redo-CABG and was picked up on echocardiography and confirmed by magnetic resonance imaging and, after successful removal, further confirmed by histopathology. The report emphasizes the importanc...

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Autores principales: Ohri, Shreya, Sachdeva, Ankush, Bhatia, Mona, Shrivastava, Sameer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676447/
https://www.ncbi.nlm.nih.gov/pubmed/26693324
http://dx.doi.org/10.1530/ERP-14-0112
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author Ohri, Shreya
Sachdeva, Ankush
Bhatia, Mona
Shrivastava, Sameer
author_facet Ohri, Shreya
Sachdeva, Ankush
Bhatia, Mona
Shrivastava, Sameer
author_sort Ohri, Shreya
collection PubMed
description We report a rare case of a cardiac hydatid cyst that was incidentally found during routine work up for a redo-CABG and was picked up on echocardiography and confirmed by magnetic resonance imaging and, after successful removal, further confirmed by histopathology. The report emphasizes the importance of early and urgent surgery for such cardiac hydatid cysts whenever discovered to prevent fatal and unexpected death. Cardiac hydatidosis is a most infrequent type, in comparison with hydatidosis of the liver (65%) and lung (25%). LEARNING POINTS: Hydatidosis or cystic echinococcosis is caused by infection with the metacestode stage of the tapeworm Echinococcus (family Taeniidae). The adult tapeworm is usually found in dogs or other canines; the tapeworm eggs are expelled in the animal's feces and humans become infected after ingestion of the eggs. The initial phase of primary infection is asymptomatic. Cardiac hydatidosis is extremely rare, more commonly the liver and lungs are affected. Morbidity from heart echinococcosis in men is three times higher than that in women. Solitary cysts occur in almost 60% of the cases; the most frequent location is the ventricular myocardium and they are usually subepicardially located, hence they rarely rupture in the pericardial space. The left ventricle is damaged twofold to threefold more frequently than the right one. The diagnosis of echinococcosis in heart can be divided into two steps: detection of the cyst and its identification as echinococcus. It is based on serological reactions, echocardiography, X-ray, computerized tomography, and/or magnetic resonance imaging. The most dangerous complication of cardiac echinococcosis is cyst perforation. After cyst perforation three quarters of the patients die from septic shock or embolic complications. It is very important to understand that chemotherapy may lead to cyst death, and destruction of its wall and result in cyst rupture. Therefore, no germicide must be administered before surgical removal.
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spelling pubmed-46764472015-12-21 Cardiac hydatid cyst in left ventricular free wall Ohri, Shreya Sachdeva, Ankush Bhatia, Mona Shrivastava, Sameer Echo Res Pract Case Report We report a rare case of a cardiac hydatid cyst that was incidentally found during routine work up for a redo-CABG and was picked up on echocardiography and confirmed by magnetic resonance imaging and, after successful removal, further confirmed by histopathology. The report emphasizes the importance of early and urgent surgery for such cardiac hydatid cysts whenever discovered to prevent fatal and unexpected death. Cardiac hydatidosis is a most infrequent type, in comparison with hydatidosis of the liver (65%) and lung (25%). LEARNING POINTS: Hydatidosis or cystic echinococcosis is caused by infection with the metacestode stage of the tapeworm Echinococcus (family Taeniidae). The adult tapeworm is usually found in dogs or other canines; the tapeworm eggs are expelled in the animal's feces and humans become infected after ingestion of the eggs. The initial phase of primary infection is asymptomatic. Cardiac hydatidosis is extremely rare, more commonly the liver and lungs are affected. Morbidity from heart echinococcosis in men is three times higher than that in women. Solitary cysts occur in almost 60% of the cases; the most frequent location is the ventricular myocardium and they are usually subepicardially located, hence they rarely rupture in the pericardial space. The left ventricle is damaged twofold to threefold more frequently than the right one. The diagnosis of echinococcosis in heart can be divided into two steps: detection of the cyst and its identification as echinococcus. It is based on serological reactions, echocardiography, X-ray, computerized tomography, and/or magnetic resonance imaging. The most dangerous complication of cardiac echinococcosis is cyst perforation. After cyst perforation three quarters of the patients die from septic shock or embolic complications. It is very important to understand that chemotherapy may lead to cyst death, and destruction of its wall and result in cyst rupture. Therefore, no germicide must be administered before surgical removal. Bioscientifica Ltd 2015-01-26 2015-03-01 /pmc/articles/PMC4676447/ /pubmed/26693324 http://dx.doi.org/10.1530/ERP-14-0112 Text en © 2015 The authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Ohri, Shreya
Sachdeva, Ankush
Bhatia, Mona
Shrivastava, Sameer
Cardiac hydatid cyst in left ventricular free wall
title Cardiac hydatid cyst in left ventricular free wall
title_full Cardiac hydatid cyst in left ventricular free wall
title_fullStr Cardiac hydatid cyst in left ventricular free wall
title_full_unstemmed Cardiac hydatid cyst in left ventricular free wall
title_short Cardiac hydatid cyst in left ventricular free wall
title_sort cardiac hydatid cyst in left ventricular free wall
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676447/
https://www.ncbi.nlm.nih.gov/pubmed/26693324
http://dx.doi.org/10.1530/ERP-14-0112
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