Abstract

Case Presentation

Isolated multiple pericardial hydatid cysts in an asymptomatic patient: Role of the CMR

Antonio Bisignani, Andrea Madeo*, Silvana De Bonis, Riccardo Vico and Giovanni Bisignani

Published: 06 January, 2023 | Volume 8 - Issue 1 | Pages: 001-003

Hydatid cysts primarily affect the liver and secondary involvement may be seen in almost any anatomic location. 
We describe the unusual pericardial location of the Echinococcus cysts in an asymptomatic patient with suggestive cardiac magnetic resonance imaging.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001146 Cite this Article Read Full Article PDF

References

  1. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000 May-Jun;20(3):795-817. doi: 10.1148/radiographics.20.3.g00ma06795. PMID: 10835129.
  2. Perez-Gomez F, Duran H, Tamames S, Perrote JL, Blanes A. Cardiac echinococcosis: clinical picture and complications. Br Heart J. 1973 Dec;35(12):1326-31. doi: 10.1136/hrt.35.12.1326. PMID: 4759932; PMCID: PMC458802.
  3. Kudaiberdiev T, Djoshibaev S, Yankovskaya L, Djumanazarov A. Multiple hydatid cysts of epicardium and pericardium. Int J Cardiol. 2001 Dec;81(2-3):265-7. doi: 10.1016/s0167-5273(01)00554-x. PMID: 11744146.
  4. Noah MS, el Din Hawas N, Joharjy I, Abdel-Hafez M. Primary cardiac echinococcosis: report of two cases with review of the literature. Ann Trop Med Parasitol. 1988 Feb;82(1):67-73. doi: 10.1080/00034983.1988.11812211. PMID: 3041930.
  5. Birincioğlu CL, Bardakci H, Küçüker SA, Ulus AT, Arda K, Yamak B, Taşdemir O. A clinical dilemma: cardiac and pericardiac echinococcosis. Ann Thorac Surg. 1999 Oct;68(4):1290-4. doi: 10.1016/s0003-4975(99)00692-x. PMID: 10543495.
  6. Blanton R. Echinococcosis. In: Behrman RE, Kliegman RM, Jenson HB, editors. Nelson Textbook of Pediatrics. 17. Philadelphia: WB Saunders Company; 2004; 1173-4.
  7. Uysalel A, Aral A, Atalay S, Akalin H. Cardiac echinococcsis with multivisceral involvement. Pediatr Cardiol. 1996 Jul-Aug;17(4):268-70. doi: 10.1007/BF02524808. PMID: 8662054.
  8. Gürlek A, Dagalp Z, Ozyurda U. A case of multiple pericardial hydatid cysts. Int J Cardiol. 1992 Sep;36(3):366-8. doi: 10.1016/0167-5273(92)90310-y. PMID: 1428273.
  9. Urbanyi B, Rieckmann C, Hellberg K, Krakau M, Liebau G, Mayer A, Waechter E. Myocardial echinococcosis with perforation into the pericardium. J Cardiovasc Surg (Torino). 1991 Jul-Aug;32(4):534-8. PMID: 1864885.
  10. Vural M, Sayin B, Pasaoglu L, Koparal S, Elverici E, Dede D. Isolated pericardial hydatid cyst in an asymptomatic patient: a remark on its radiologic diagnosis. Clin Imaging. 2007 Jan-Feb;31(1):37-9. doi: 10.1016/j.clinimag.2006.10.002. PMID: 17189845.
  11. De Martini M, Nador F, Binda A, Arpesani A, Odero A, Lotto A. Myocardial hydatid cyst ruptured into the pericardium: cross-sectional echocardiographic study and surgical treatment. Eur Heart J. 1988 Jul;9(7):819-24. doi: 10.1093/eurheartj/9.7.819. PMID: 3169050.
  12. DI BELLO R, MENENDEZ H. Intracardiac rupture of hydatid cysts of the heart. A study based on three personal observations and 101 cases in the world literature. Circulation. 1963 Mar;27:366-74. doi: 10.1161/01.cir.27.3.366. PMID: 14027496.
  13. Kahlfuß S, Flieger RR, Roepke TK, Yilmaz K. Diagnosis and treatment of cardiac echinococcosis. Heart. 2016 Sep 1;102(17):1348-53. doi: 10.1136/heartjnl-2016-309350. Epub 2016 May 19. PMID: 27199228.
  14. Hosch W, Junghanss T, Stojkovic M, Brunetti E, Heye T, Kauffmann GW, Hull WE. Metabolic viability assessment of cystic echinococcosis using high-field 1H MRS of cyst contents. NMR Biomed. 2008 Aug;21(7):734-54. doi: 10.1002/nbm.1252. PMID: 18384178.
  15. Ohri S, Sachdeva A, Bhatia M, Shrivastava S. Cardiac hydatid cyst in left ventricular free wall. Echo Res Pract. 2015 Mar 1;2(1):K17-9. doi: 10.1530/ERP-14-0112. Epub 2015 Jan 26. PMID: 26693324; PMCID: PMC4676447.
  16. Patel R, Lim RP, Saric M, Nayar A, Babb J, Ettel M, Axel L, Srichai MB. Diagnostic Performance of Cardiac Magnetic Resonance Imaging and Echocardiography in Evaluation of Cardiac and Paracardiac Masses. Am J Cardiol. 2016 Jan 1;117(1):135-40. doi: 10.1016/j.amjcard.2015.10.014. Epub 2015 Oct 19. PMID: 26552505.
  17. Staab W, Bergau L, Schuster A, Hinojar R, Dorenkamp M, Obenauer S, Lotz J, Sohns C. Detection of intracardiac masses in patients with coronary artery disease using cardiac magnetic resonance imaging: a comparison with transthoracic echocardiography. Int J Cardiovasc Imaging. 2014 Mar;30(3):647-57. doi: 10.1007/s10554-013-0357-9. Epub 2014 Jan 3. PMID: 24384859.
  18. Grizzard JD. Magnetic resonance imaging of pericardial disease and intracardiac thrombus. Heart Fail Clin. 2009 Jul;5(3):401-19, vii. doi: 10.1016/j.hfc.2009.02.006. PMID: 19564016.
  19. Frank H, Globits S. Magnetic resonance imaging evaluation of myocardial and pericardial disease. J Magn Reson Imaging. 1999 Nov;10(5):617-26. doi: 10.1002/(sici)1522-2586(199911)10:5<617::aid-jmri5>3.0.co;2-z. PMID: 10548770.
  20. Tower-Rader A, Kwon D. Pericardial Masses, Cysts and Diverticula: A Comprehensive Review Using Multimodality Imaging. Prog Cardiovasc Dis. 2017 Jan-Feb;59(4):389-397. doi: 10.1016/j.pcad.2016.12.011. Epub 2017 Jan 4. PMID: 28062266.
  21. Wang ZJ, Reddy GP, Gotway MB, Yeh BM, Hetts SW, Higgins CB. CT and MR imaging of pericardial disease. Radiographics. 2003 Oct;23 Spec No:S167-80. doi: 10.1148/rg.23si035504. PMID: 14557510.
  22. Vinée P, Stöver B, Sigmund G, Laubenberger J, Hauenstein KH, Weyrich G, Hennig J. MR imaging of the pericardial cyst. J Magn Reson Imaging. 1992 Sep-Oct;2(5):593-6. doi: 10.1002/jmri.1880020519. PMID: 1392254.
  23. Grizzard JD. Magnetic resonance imaging of pericardial disease and intracardiac thrombus. Heart Fail Clin. 2009 Jul;5(3):401-19, vii. doi: 10.1016/j.hfc.2009.02.006. PMID: 19564016.
  24. Thameur H, Abdelmoula S, Chenik S, Bey M, Ziadi M, Mestiri T, Mechmeche R, Chaouch H. Cardiopericardial hydatid cysts. World J Surg. 2001 Jan;25(1):58-67. doi: 10.1007/s002680020008. PMID: 11213157.

Figures:

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?