A giant cardiac hydatid cyst presenting with chest pain and ventricular tachycardia in a pregnant woman undergoing cesarean section

AbstractIsolated cardiac involvement in hydatid disease is very rare. We report the case of a young adult male who presented to the emergency department with acute onset of chest pain and was surprisingly detected to have a hydatid cyst in the left ventricular myocardium. The transthoracic echocardiography and cardiac magnetic resonance imaging confirmed the diagnosis. Cardiac hydatid disease should be considered in the differential diagnosis of chest pain in young individuals in the absence of conventional risk factors of atherosclerosis.

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Identification and prognostication of the substrate of ventricular arrhythmia with cardiac magnetic resonance (CMR) imaging in patients with normal echocardiography

European Heart Journal - Cardiovascular Imaging ◽

10.1093/ehjci/jeaa356.372 ◽

2021 ◽

Vol 22 (Supplement_1) ◽

Author(s):

S Younus ◽

H Maqsood ◽

A Gulraiz ◽

MD Khan ◽

R Awais

Keyword(s):

Heart Disease ◽

Ventricular Tachycardia ◽

Cardiac Magnetic Resonance ◽

Chest Pain ◽

Magnetic Resonance ◽

Ventricular Arrhythmia ◽

Heart Diseases ◽

Sustained Ventricular Tachycardia ◽

Structural Heart Diseases ◽

Cmr Imaging

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): Self Introduction Malignant ventricular arrhythmia contributes to approximately half of the sudden cardiac deaths. In common practice, echocardiography is used to identify structural heart diseases that are the most frequent substrate of VA. Identification and prognostication of structural heart diseases are very important as they are the main determinant of poor prognosis of ventricular arrhythmia. Purpose : The objective of this study is to determine whether cardiac magnetic resonance (CMR) may identify structural heart disease (SHD) in patients with ventricular arrhythmia who had no pathology observed on echocardiography. Methods : A total of 864 consecutive patients were enrolled in this single-center prospective study with significant ventricular arrhythmia. VA was characterized as >1000 ventricular ectopic beats per 24 hours, non-sustained ventricular arrhythmia, sustained ventricular arrhythmia, and no pathological lesion on echocardiography. The primary endpoint was the detection of SHD with CMR. Secondary endpoints were a composite of CMR detection of SHD and abnormal findings not specific for a definite SHD diagnosis. Results : CMR studies were used to diagnose SHD in 212 patients (24.5%) and abnormal findings not specific for a definite SHD diagnosis in 153 patients (17.7%). Myocarditis (n = 84) was the more frequent disease, followed by arrhythmogenic cardiomyopathy (n = 51), ischemic heart disease (n = 32), dilated cardiomyopathy (n = 17), hypertrophic cardiomyopathy (n = 12), congenital cardiac disease (n = 08), left ventricle noncompaction (n = 5), and pericarditis (n = 3). The strongest univariate and multivariate predictors of SHD on CMR images were chest pain (odds ratios [OR]: 2.5 and 2.33, respectively) and sustained ventricular tachycardia (ORs: 2.62 and 2.21, respectively). Conclusion : Our study concludes that SHD was able to be identified on CMR imaging in a significant number of patients with malignant VA and completely normal echocardiography. Chest pain and sustained ventricular tachycardia were the two strongest predictors of positive CMR imaging results. Abstract Figure. Distribution of different SHD

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Anesthesia Mumps after The Cesarean Section in Pregnant Woman

Electronic Journal of General Medicine ◽

10.29333/ejgm/82768 ◽

2011 ◽

Vol 8 (4) ◽

Cited By ~ 3

Author(s):

İsmail Katı ◽

Zehra Kurdoğlu ◽

Uğur Göktaş ◽

O Çağatay Aytekin ◽

Serhat Avcu

Keyword(s):

Pregnant Woman ◽

Cesarean Section

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Endometriosis of Rectus Muscle Excised During Cesarean Section: A Case Report and Literature Review

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2016.489 ◽

2016 ◽

Author(s):

Recep Erin ◽

Kübra Baki Erin ◽

Derya Burkankulu Ağırbaş ◽

Burcu Kemal Okatan

Keyword(s):

Case Report ◽

Pregnant Woman ◽

Literature Review ◽

Cesarean Section ◽

Abdominal Wall ◽

Rectus Muscle ◽

Surgical Excision ◽

Treatment Method ◽

Abdominal Wall Endometriosis ◽

Subcutaneous Mass

We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis. Surgical excision is the best treatment method in abdominal wall endometriosis.

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