Right ventricular hydatid cyst presented as tachyarrhythmia

2018 ◽  
Vol 27 (6) ◽  
pp. 489-491 ◽  
Author(s):  
Sushil Kumar Singh ◽  
Vikas Singh ◽  
Sarvesh Kumar ◽  
Vijayant Devenraj ◽  
Monika Bhandari ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Ventricular Tachycardia ◽  
Hydatid Cyst ◽  
Right Ventricular ◽  
Antiarrhythmic Drugs ◽  
Normal Liver ◽  
Resonance Imaging ◽  
Normal Liver Function ◽  
Rare Presentation

Cardiac hydatidosis is a rare presentation of echinococcus granulosus infestation. We report the case of 57-year-old man who presented with syncope due to ventricular tachycardia and was managed with antiarrhythmic drugs for an acute episode. Echocardiography and cardiac magnetic resonance imaging suggested a 1 cm right ventricular hydatid cyst. In view of the control of arrhythmia on antiarrhythmic drugs and the small size of the cyst, the patient was treated with albendazole 400 mg twice a day for 4 weeks. He was asymptomatic with normal liver function during follow-up, and repeat echocardiography after 1 year revealed disappearance of the intramyocardial lesion.

SPINAL INTRADURAL EXTRAMEDULLARY HYDATIDOSIS

Neurosurgery ◽  
2009 ◽  
Vol 65 (2) ◽  
pp. 372-377 ◽  
Author(s):  
Fayçal Lakhdar ◽  
Yasser Arkha ◽  
Loubna Rifi ◽  
Said Derraz ◽  
Abdessamad El Ouahabi ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Postoperative Treatment ◽  
Resonance Imaging ◽  
Spinal Magnetic Resonance Imaging ◽  
Intradural Extramedullary ◽  
Cyst Rupture

Abstract OBJECTIVE Spinal hydatid cyst is a serious form of hydatid disease affecting fewer than 1% of all patients with hydatid disease. We report 3 healthy patients who presented with progressive paraparesis attributed to a histologically proven intradural hydatid cyst. METHODS There were 2 children (1 boy, 1 girl) and 1 adult with a mean age of 12 years. The median follow-up duration was 16 months. Spinal magnetic resonance imaging was performed in the 3 patients, and an anatomic and topographical diagnosis of the intradural hydatid cyst was made. RESULTS Magnetic resonance imaging scans revealed cystic lesions with peripheral contrast enhancement. Surgery was performed through laminectomy, complete resection was achieved, and antihelminthic treatment with albendazole 10 mg/kg−1 per day for 6 months was included in the postoperative treatment. The patients improved after surgery with normal motor function. CONCLUSION This localization is rare and serious, but its prognosis is excellent if diagnosis is made early enough and surgery is performed in time to prevent cyst rupture.

scholarly journals Cardiac Magnetic Resonance Imaging Right Ventricular Longitudinal Strain Predicts Mortality in Patients Undergoing TAVI

2021 ◽  
Vol 8 ◽  
Author(s):  
Johannes Schmid ◽  
Claus Kamml ◽  
David Zweiker ◽  
Dominik Hatz ◽  
Albrecht Schmidt ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Right Ventricular ◽  
Cardiac Magnetic Resonance Imaging ◽  
Volume Index ◽  
Resonance Imaging ◽  
All Cause Mortality ◽  
Rv Function

Background: Right ventricular (RV) function predicts survival in numerous cardiac conditions, including left heart disease. The reference standard for non-invasive assessment of RV function is cardiac magnetic resonance imaging (CMR). The aim of this study was to investigate the association between pre-procedural CMR-derived RV functional parameters and mortality in patients undergoing transcatheter aortic valve implantation (TAVI).Methods: Patients scheduled for TAVI were recruited to undergo pre-procedural CMR. Volumetric function and global longitudinal and circumferential strain (GLS and GCS) of the RV and left ventricle (LV) were measured. The association with the primary endpoint (1-year all-cause mortality) was analyzed with Cox regression.Results: Of 133 patients undergoing CMR, 113 patients were included in the analysis. Mean age was 81.8 ± 5.8 years, and 65% were female. Median follow-up was 3.9 [IQR 2.3–4.7] years. All-cause and cardiovascular mortality was 14 and 12% at 1 year, and 28 and 20% at 3 years, respectively. One-year all-cause mortality was significantly predicted by RV GLS [HR = 1.109 (95% CI: 1.023–1.203); p = 0.012], RV ejection fraction [HR = 0.956 (95% CI: 0.929–0.985); p = 0.003], RV end-diastolic volume index [HR = 1.009 (95% CI: 1.001–1.018); p = 0.025], and RV end-systolic volume index [HR = 1.010 (95% CI: 1.003–1.017); p = 0.005]. In receiver operating characteristic (ROC) analysis for 1-year all-cause mortality, the area under the curve was 0.705 (RV GLS) and 0.673 (RV EF). Associations decreased in strength at longer follow-up. None of the LV parameters was associated with mortality.Conclusions: RV function predicts intermediate-term mortality in TAVI patients while LV parameters were not associated with outcomes. Inclusion of easily obtainable RV GLS may improve future risk scores.

scholarly journals P685 Isolated Large Cardiac Hydatid Cyst in the Interventricular Septum

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
C Tunca ◽  
H Pamukcu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hydatid Cyst ◽  
Cystic Lesion ◽  
Interventricular Septum ◽  
Large Cyst ◽  
Resonance Imaging ◽  
Hydatid Cysts ◽  
Atypical Chest Pain ◽  
Thoracic Computed Tomography

Abstract Hydatidosis or cystic echinococcosis is caused by infection with the metacestode stage of the tapeworm Echinococcus . Cardiac hydatid cyst is a rare disease (%0.5-%2) and its symptom is depending on the size and site of infection. The growth of hydatid cyst is usually slow and asymptomatic and just about 10% of patients with cardiac hydatid cyst are symptomatic . The left ventricle is the site of cardiac hydatid cysts in 55% to 60% of cases.Involvement of the interventricular septum is quite rarer.Surgical excision is the preferred treatment. We are reporting a patient with cardiac hydatidosis who was medically treated mass cause of refused the surgery.A 27-year-old woman presented with atypical chest pain and dyspnea. Transthoracic echocardiography revealed a large cyst in the interventricular septum. Thoracic computed tomography showed a cystic lesion in that site, and magnetic resonance imaging confirmed the presence of a 32× 34-mm mass. The patient was treated with albendazole 10 mg/kg for 6 months. After a 6-month follow-up, echocardiography revealed reduction in the size of the cyst. We consider this is the infrequent documented case of cardiac hydatid cyst which regressed with only medical treatment Abstract P685 Figure. Hydatid Cyst in the IVS

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