Skip to main content
Top
Published in: The International Journal of Cardiovascular Imaging 1/2011

01-12-2011 | Original Paper

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

Authors: Yan Xing, Dilimulati Bawudong, Wen-Bin Zhang, Wen-Ya Liu, Cun-Xue Pan, Hao Wen, Chen-Wei Li

Published in: The International Journal of Cardiovascular Imaging | Special Issue 1/2011

Login to get access

Abstract

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.
Literature
2.
go back to reference Eckert J, Deplazes P (2004) Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 17(1):107–135PubMedCrossRef Eckert J, Deplazes P (2004) Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev 17(1):107–135PubMedCrossRef
3.
go back to reference Bashour TT, Alali AR, Mason DT et al (1996) Echinococcosis of the heart: clinical and echocardiographic features in 19 patients. Am Heart J 132(5):1028–1030PubMedCrossRef Bashour TT, Alali AR, Mason DT et al (1996) Echinococcosis of the heart: clinical and echocardiographic features in 19 patients. Am Heart J 132(5):1028–1030PubMedCrossRef
4.
go back to reference Wang YH, Rogan MT, Vuitton DA et al (2001) Cystic echinococcosis in semi-nomadic pastoral communities in north-west China. Trans R Soc Trop Med Hyg 95(2):153–158PubMedCrossRef Wang YH, Rogan MT, Vuitton DA et al (2001) Cystic echinococcosis in semi-nomadic pastoral communities in north-west China. Trans R Soc Trop Med Hyg 95(2):153–158PubMedCrossRef
5.
go back to reference Oliver JM, Sotillo JF, Dominguez FJ et al. (1988) Two-dimensional echocardiographic features of echinococcosis of the heart and great blood vessels. Clinical and surgical implications. Circulation 78(2):327–337 Oliver JM, Sotillo JF, Dominguez FJ et al. (1988) Two-dimensional echocardiographic features of echinococcosis of the heart and great blood vessels. Clinical and surgical implications. Circulation 78(2):327–337
6.
go back to reference Shehatha J, Alward M, Saxena P et al (2009) Surgical management of cardiac hydatidosis. Tex Heart Inst J 36(1):72–73PubMed Shehatha J, Alward M, Saxena P et al (2009) Surgical management of cardiac hydatidosis. Tex Heart Inst J 36(1):72–73PubMed
7.
go back to reference Maffeis GR, Petrucci O, Carandina R et al (2000) Cardiac echinococcosis. Circulation 101(11):1352–1354PubMed Maffeis GR, Petrucci O, Carandina R et al (2000) Cardiac echinococcosis. Circulation 101(11):1352–1354PubMed
8.
go back to reference Gurbuz A, Tetik O, Yilik L et al (2003) Cardiac involvement of hydatid disease. Jpn J Thorac Cardiovasc Surg 51(11):594–598PubMedCrossRef Gurbuz A, Tetik O, Yilik L et al (2003) Cardiac involvement of hydatid disease. Jpn J Thorac Cardiovasc Surg 51(11):594–598PubMedCrossRef
9.
go back to reference Onursal E, Elmaci TT, Tireli E et al (2001) Surgical treatment of cardiac echinococcosis: report of eight cases. Surg Today 31(4):325–330PubMedCrossRef Onursal E, Elmaci TT, Tireli E et al (2001) Surgical treatment of cardiac echinococcosis: report of eight cases. Surg Today 31(4):325–330PubMedCrossRef
10.
go back to reference Dighiero J, Canabal EJ, Aguirre CV et al (1958) Echinococcus disease of the heart. Circulation 17(1):127–132PubMed Dighiero J, Canabal EJ, Aguirre CV et al (1958) Echinococcus disease of the heart. Circulation 17(1):127–132PubMed
11.
go back to reference Erentug V, Bozbuga N, Kirali K et al (2004) Cardiac hydatid cysts: surgical treatment and results. J Card Surg 19(4):358–360PubMedCrossRef Erentug V, Bozbuga N, Kirali K et al (2004) Cardiac hydatid cysts: surgical treatment and results. J Card Surg 19(4):358–360PubMedCrossRef
12.
go back to reference Yaliniz H, Tokcan A, Salih OK et al (2006) Surgical treatment of cardiac hydatid disease: a report of 7 cases. Tex Heart Inst J 33(3):333–339PubMed Yaliniz H, Tokcan A, Salih OK et al (2006) Surgical treatment of cardiac hydatid disease: a report of 7 cases. Tex Heart Inst J 33(3):333–339PubMed
13.
go back to reference Tsigkas G, Chouchoulis K, Apostolakis E et al (2010) Heart echinococcus cyst as an incidental finding: early detection might be life-saving. J Cardiothorac Surg 5:124PubMedCrossRef Tsigkas G, Chouchoulis K, Apostolakis E et al (2010) Heart echinococcus cyst as an incidental finding: early detection might be life-saving. J Cardiothorac Surg 5:124PubMedCrossRef
14.
go back to reference Kosar F, Aksoy Y, Sahin I et al (2005) Pericardial hydatid cyst mimicking acute coronary syndrome. Tex Heart Inst J 32(4):570–572PubMed Kosar F, Aksoy Y, Sahin I et al (2005) Pericardial hydatid cyst mimicking acute coronary syndrome. Tex Heart Inst J 32(4):570–572PubMed
15.
go back to reference Miralles A, Bracamonte L, Pavie A et al. (1994) Cardiac echinococcosis. Surgical treatment and results. J Thorac Cardiovasc Surg 107(1):184–190 Miralles A, Bracamonte L, Pavie A et al. (1994) Cardiac echinococcosis. Surgical treatment and results. J Thorac Cardiovasc Surg 107(1):184–190
16.
go back to reference Kharebov A, Nahmias J, El-On J (1997) Cellular and humoral immune responses of hydatidosis patients to Echinococcus granulosus purified antigens. Am J Trop Med Hyg 57(5):619–625PubMed Kharebov A, Nahmias J, El-On J (1997) Cellular and humoral immune responses of hydatidosis patients to Echinococcus granulosus purified antigens. Am J Trop Med Hyg 57(5):619–625PubMed
17.
go back to reference WHO/OIE (2001) Echinococcosis in humans: clinical aspects, diagnosis and treatment. In: Eckert J, Gemmell MA, Meslin FX et al. (eds) Manual on echinococcosis in humans and animals: a public health problem of global concern. World Organization for Animal Health, Paris, France, pp 20–66 WHO/OIE (2001) Echinococcosis in humans: clinical aspects, diagnosis and treatment. In: Eckert J, Gemmell MA, Meslin FX et al. (eds) Manual on echinococcosis in humans and animals: a public health problem of global concern. World Organization for Animal Health, Paris, France, pp 20–66
18.
go back to reference Nemes A, Geleijnse ML, van Geuns RJ et al (2006) Evaluation of pericardial hydatid cysts by different echocardiographic imaging modalities. Int J Cardiovasc Imaging 22(5):647–651PubMedCrossRef Nemes A, Geleijnse ML, van Geuns RJ et al (2006) Evaluation of pericardial hydatid cysts by different echocardiographic imaging modalities. Int J Cardiovasc Imaging 22(5):647–651PubMedCrossRef
19.
go back to reference Dursun M, Terzibasioglu E, Yilmaz R et al (2008) Cardiac hydatid disease: CT and MRI findings. AJR Am J Roentgenol 190(1):226–232PubMedCrossRef Dursun M, Terzibasioglu E, Yilmaz R et al (2008) Cardiac hydatid disease: CT and MRI findings. AJR Am J Roentgenol 190(1):226–232PubMedCrossRef
Metadata
Title
Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature
Authors
Yan Xing
Dilimulati Bawudong
Wen-Bin Zhang
Wen-Ya Liu
Cun-Xue Pan
Hao Wen
Chen-Wei Li
Publication date
01-12-2011
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue Special Issue 1/2011
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-011-9958-3

Other articles of this Special Issue 1/2011

The International Journal of Cardiovascular Imaging 1/2011 Go to the issue