Ruptured Hydatid Cysts Resulted in Infectious Pericardial Effusion and Development of Cardiac Tamponade: A Rare Presentation

Introduction: Cardiac Hydatidosis is a rare and ominous complication of hydatid disease. Cardiac echinococcosis may be asymptomatic for several years but could be discovered after the development of lethal complications. Case Presentation: A 31-year-old-male referred with possible diagnosis of acute pericarditis. Abdominal and pelvic spiral CT scan showed focal and heterogeneous increased thickness of lateral left ventricular (LV) wall with protrusion into LV and bulging into pericardial space without central enhancement. His condition deteriorated suddenly due to cardiac tamponade with round cystic lesions suspected to hydatid cyst. Cardiac magnetic resonance imaging showed some round particles within effusion suggestive of possible scolex around the LV. There was round, and inhomogeneous cystic mass originated from sub-epicardial layer of mid-lateral LV that protruded into pericardial space. Diagnosis of hydatic cyst was confirmed by surgical specimen. Conclusions: We suggest that patients with pericarditis should be probed with echocardiography for the presence of hydatid cysts.

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Pericardial effusion and cardiac tamponade requiring pericardial window in an otherwise healthy 30-year-old patient with COVID-19: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02467-w ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Christina Walker ◽

Vincent Peyko ◽

Charles Farrell ◽

Jeanine Awad-Spirtos ◽

Matthew Adamo ◽

...

Keyword(s):

Case Report ◽

Pericardial Effusion ◽

Cardiac Tamponade ◽

Case Reports ◽

Healthy Woman ◽

Signs And Symptoms ◽

Rare Presentation ◽

Pericardial Window ◽

Acute Pericarditis ◽

Novel Coronavirus

Abstract Background This case report demonstrates pericardial effusion, acute pericarditis, and cardiac tamponade in an otherwise healthy woman who had a positive test result for coronavirus disease 2019. Few case reports have been documented on patients with this presentation, and it is important to share novel presentations of the disease as they are discovered. Case presentation A Caucasian patient with coronavirus disease 2019 returned to the emergency department of our hospital 2 days after her initial visit with worsening chest pain and shortness of breath. Imaging revealed new pericardial effusion since the previous visit. The patient became hypotensive, was taken for pericardial window for cardiac tamponade with a drain placed, and was treated for acute pericarditis. Conclusion Much is still unknown about the implications of coronavirus disease 2019. With the novel coronavirus disease 2019 pandemic, research is still in process, and we are slowly learning about new signs and symptoms of the disease. This case report documents a lesser-known presentation of a patient with coronavirus disease 2019 and will help to further understanding of a rare presentation.

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ACUTE PERICARDITIS AND CARDIAC TAMPONADE WITH VERY HIGH CARCINOEMBRYONIC ANTIGEN (CEA) LEVEL RELATED WITH MEDIASTINAL CYSTIC MASS

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(16)31216-5 ◽

2016 ◽

Vol 67 (13) ◽

pp. 1215

Author(s):

Kangun Choi ◽

Jang-Won Son ◽

Jong Ho Nam ◽

Byung-Jun Kim ◽

Kyuhwan Park ◽

...

Keyword(s):

Cardiac Tamponade ◽

Carcinoembryonic Antigen ◽

Cystic Mass ◽

Acute Pericarditis ◽

Very High

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Double trouble – thyro-pericarditis: rare presentation of Graves’ disease as pericarditis—a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa280 ◽

2020 ◽

Author(s):

Mohsin Gondal ◽

Ali Hussain ◽

Hira Yousuf ◽

Zahra Haider

Keyword(s):

Clinical Examination ◽

Systolic Function ◽

Beta Blockers ◽

Case Reports ◽

Left Ventricular ◽

Graves Disease ◽

Thyroid Function Tests ◽

Free T4 ◽

Rare Presentation ◽

Acute Pericarditis

Abstract Background Acute pericarditis is frequently encountered in clinical practice; however, pericarditis as the first presentation of Graves' disease is rare and mainly limited to case reports in the literature. We hereby report a case in which a young patient presented with pericarditis as the first manifestation of Graves’ disease. Case summary A 24-year-old male was admitted to hospital with presenting complaint of left-sided chest pain, gradual in onset, 6/10 in intensity, sharp in character, increased by deep breathing and improved by leaning forward. Patient also gave a history of insomnia, unintentional weight loss despite a good appetite, heat intolerance, and anxiety. On clinical examination, the patient had features of thyrotoxicosis, i.e., tachycardia, high volume pulse, and sweaty palms with fine tremors. There was no associated pericardial rub. Neck examination shows diffuse, non-tender goitre. Electrocardiogram findings were consistent with acute pericarditis. His thyroid function tests demonstrated hyperthyroidism and anti-thyroglobulin antibodies were also significantly elevated. Echocardiogram showed preserved left ventricular systolic function and a small global pericardial effusion without any signs of tamponade. He was diagnosed with Graves’ disease revealing itself as pericarditis and was started on ibuprofen, beta-blockers, and carbimazole. Patient had marked clinical and biochemical improvement on 3 monthly follow-ups. Discussion Thyro-pericarditis is a rare entity, and limited literature is available regarding this combination. The exact aetiology of Graves associated pericarditis is unknown. There is a possibility of interaction of autoantibodies with receptors on pericardium. Diagnosis is based on a detailed history, clinical examination, supplemented by relevant investigations (elevated free T4 and thyroid receptor antibodies, suppressed thyroid stimulating hormone (TSH) and Imaging via ultrasound). Mainstay of treatment includes non-steroidal anti-inflammatory drugs, beta-blockers, and anti-thyroidal medications.

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Cardiac tamponade from anticoagulant-related spontaneous haemopericardium in a patient with ischaemic cardiomyopathy and heart failure

BMJ Case Reports ◽

10.1136/bcr-2020-238047 ◽

2020 ◽

Vol 13 (12) ◽

pp. e238047

Author(s):

Alicia Lefas ◽

Neil Bodagh ◽

Jiliu Pan ◽

Ali Vazir

Keyword(s):

Heart Failure ◽

Cardiac Tamponade ◽

Ventricular Dysfunction ◽

Oral Anticoagulants ◽

Direct Oral Anticoagulants ◽

Left Ventricular ◽

Heart Failure Therapy ◽

Severe Left Ventricular Dysfunction ◽

Ischaemic Cardiomyopathy ◽

Common Causes

We describe the case of an 86-year-old man with a background of severe left ventricular dysfunction and ischaemic cardiomyopathy who, having been optimised for heart failure therapy in hospital, unexpectedly deteriorated again with hypotension and progressive renal failure over the course of 2 days. Common causes of decompensation were ruled out and a bedside echocardiogram unexpectedly diagnosed new pericardial effusion with tamponade physiology. The patient underwent urgent pericardiocentesis and 890 mL of haemorrhagic fluid was drained. Common causes for haemopericardium were ruled out, and the spontaneous haemopericardium was thought to be related to introduction of rivaroxaban anticoagulation. The patient made a full recovery and was well 2 months following discharge. This case highlights the challenges of diagnosing cardiac tamponade in the presence of more common disorders that share similar non-specific clinical features. In addition, this case adds to growing evidence that therapy with direct oral anticoagulants can be complicated by spontaneous haemopericardium, especially when coadministered with other agents that affect clotting, renal dysfunction and cytochrome P3A5 inhibitors.

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One‐stage surgery for both hepatic and left ventricular hydatid cysts using transthoracic route

Clinical Case Reports ◽

10.1002/ccr3.3675 ◽

2021 ◽

Author(s):

Hatem Lahdhili ◽

Mokhles Lajmi ◽

Houssem Messaoudi ◽

Wafa Ragmoun ◽

Slim Chenik

Keyword(s):

Left Ventricular ◽

Hydatid Cysts ◽

One Stage

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A cardiac hydatid cyst mimicking a pericardial tumour in a paediatric case

Cardiology in the Young ◽

10.1017/s1047951118002032 ◽

2018 ◽

Vol 29 (2) ◽

pp. 244-246 ◽

Cited By ~ 1

Author(s):

Taliha Oner ◽

Oktay Korun ◽

Ahmet Celebi

Keyword(s):

Hydatid Cyst ◽

Cardiac Involvement ◽

The Body ◽

Hydatid Cysts ◽

Common Site ◽

Right Ventricular Free Wall ◽

Rare Presentation ◽

Paediatric Case ◽

Involvement Rate ◽

The Right

AbstractCardiac hydatid cysts are a rare presentation of hydatid cyst disease in the body, with a reported cardiac involvement rate of <2%. The left ventricle is the most common site of cardiac involvement. Here, we report a patient with a hydatid cyst that ruptured into the pericardium after producing an aneurysm on the right ventricular free wall, appearing as fibrinated fluid and a solid mass lesion in the pericardium. Our aim in this case report was to emphasise that the possibility of a hydatid cyst should not be overlooked in the differential diagnosis of pericardial tumours.

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Assessment of left ventricular volumes and function: intraindividual comparison of multi-slice spiral CT and electron beam CT in an animal model

Acta Radiologica ◽

10.1080/02841850410008720 ◽

2004 ◽

Vol 45 (8) ◽

pp. 819-827 ◽

Cited By ~ 5

Author(s):

T. H. Wiese ◽

P. Rogalla ◽

M. Taupitz ◽

S. Wagner ◽

J. Schnorr ◽

...

Keyword(s):

Animal Model ◽

Electron Beam ◽

Spiral Ct ◽

Left Ventricular ◽

Left Ventricular Volumes ◽

Ventricular Volumes ◽

Intraindividual Comparison ◽

Electron Beam Ct ◽

And Function

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Diseases of the Pericardium, Cardiac Tumors, and Cardiac Trauma

10.2310/7900.1025 ◽

2016 ◽

Author(s):

Terrence D. Welch ◽

Kyle W Klarich ◽

Jae K. Oh

Keyword(s):

Pericardial Effusion ◽

Constrictive Pericarditis ◽

Restrictive Cardiomyopathy ◽

Left Ventricular ◽

Cardiac Tumors ◽

Management Options ◽

Acute Pericarditis ◽

Pericardial Disease ◽

Cardiac Trauma ◽

Pulsed Wave Doppler

The pericardium consists of a fibrous sac and a serous membrane. Because of its simple structure, the clinical syndromes involving the pericardium are relatively few but vary substantially in severity. Cardiac tumors may be either primary or secondary and either benign or malignant, with attachment sites throughout the endocardium. Cardiovascular trauma should be suspected in all patients with chest injuries or severe generalized trauma. Cardiovascular injury may be either blunt or penetrating. This review covers pericardial disease, cardiac tumors, and cardiovascular trauma. Figures show an electrocardiogram in acute pericarditis; acute pericarditis with delayed gadolinium enhancement of the pericardium shown with cardiac magnetic resonance imaging; underlying cause of pericardial effusion requiring pericardiocentesis; pericardial pressure-volume curves; large pericardial effusion with swinging motion of the heart resulting in electrical alternans; typical pulsed-wave Doppler pattern of tamponade; underlying causes of constrictive pericarditis in patients undergoing pericardiectomy; pericardial calcification seen on a chest radiograph; thickened pericardium; typical pulsed-wave Doppler pattern of constrictive pericarditis; typical mitral annular tissue velocities in constrictive pericarditis; a diagnostic algorithm for the echocardiographic diagnosis of constrictive pericarditis; simultaneous right ventricular and left ventricular pressure tracings in restrictive cardiomyopathy; computed tomographic scan showing inflammatory constrictive pericarditis; systolic and diastolic transesophageal echocardiographic images of a large left atrial myxoma attached to the atrial septum; a decision tree of management options for patients with suspected papillary; transesophageal echocardiographic examples of aortic valve, mitral valve, left ventricular outflow tract, and tricuspid valve papillary fibroelastomas; and transesophageal short-axis view of the descending thoracic aorta in a hypotensive patient after a motor vehicle accident. The table lists tamponade versus constriction versus restrictive cardiomyopathy. This review contains 18 highly rendered figures, 1 table, and 77 references.

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Cardiac tamponade

ESC CardioMed ◽

10.1093/med/9780198784906.003.0378 ◽

2018 ◽

pp. 1575-1580

Author(s):

Arsen D. Ristić ◽

Petar M. Seferović ◽

Bernhard Maisch ◽

Vladimir Kanjuh

Keyword(s):

Cardiac Output ◽

Pericardial Effusion ◽

Cardiac Tamponade ◽

Interventional Procedures ◽

Loop Diuretics ◽

Diastolic Filling ◽

Pericardial Space ◽

Pericardial Diseases

Cardiac tamponade is a pericardial syndrome characterized by compression of the heart by the exudate accumulating within the pericardial space and impairing diastolic filling and cardiac output. Pericardial diseases of any aetiology but also haemorrhage during interventional procedures may cause tamponade. If pericardial effusion accumulates slowly, 2000 mL or more could be tolerated (unless precipitated by dehydration, loop diuretics, vasodilators, anticoagulants, or thrombolytics), but acute accumulation of more than 250 mL is fatal.

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