PMID- 32804331
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231112
IS  - 2090-911X (Electronic)
IS  - 1110-2608 (Print)
IS  - 1110-2608 (Linking)
VI  - 72
IP  - 1
DP  - 2020 Aug 17
TI  - Primary cardiac hydatid cyst presenting with massive pericardial effusion: a case 
      report.
PG  - 51
LID - 10.1186/s43044-020-00085-x [doi]
LID - 51
AB  - BACKGROUND: Cardiac hydatidosis is a rare manifestation of Echinococcus 
      infection. It represents 0.5 to 2% of hydatic disease (Mustafa et al., Can J 
      Cardiol 22:2, 2006). The most common localization is the myocardium of the left 
      ventricle but can also touch the right ventricle, atrium, pericardium, 
      interventricular septum, and pulmonary artery. Clinical presentation is varied 
      ranging from clinical latency or minor symptoms to cardiogenic shock and sudden 
      death. The present case describes a primary pericardial hydatid cyst, a very 
      exceptional localization of cardiac hydatidosis, which can lead to a delayed 
      diagnosis or to an erroneous treatment that can expose the life of the patient to 
      complications and death if it is not considered. Diagnosis can be established by 
      cardiac imaging and hydatid serology. Therapy management should combine both 
      surgery and medical treatment by albendazole or mebendazole. CASE PRESENTATION: 
      We report a 70-year-old woman from Sale, who was admitted for dyspnea New York 
      Heart Association (NYHA) class IV evolving in a febrile context with signs of 
      right heart failure related to a rupture of a primary pericardial hydatid cyst 
      with pre-tamponade. The diagnosis was confirmed by echocardiography, computed 
      tomography scan (CT scan), and hydatic serology, and the patient was operated and 
      put on albendazole for 3 months with favorable clinical course. CONCLUSIONS: The 
      aims of this article are to consider the diagnosis of cardiac hydatid cysts in 
      the presence of pericardial effusion, especially if there is a prior history of 
      hydatid disease, a contact with animals, or when it occurs in an endemic country, 
      and to be able to make a differential diagnosis with cardiac imaging in order to 
      avoid its complications and to guide the management.
FAU - El Boussaadani, Badre
AU  - El Boussaadani B
AD  - Cardiology B Department, Ibn Sina University Hospital Center, Rabat, Morocco.
AD  - Mohammed V University, Rabat, Morocco.
FAU - Regragui, Hind
AU  - Regragui H
AUID- ORCID: 0000-0001-6433-7989
AD  - Cardiology B Department, Ibn Sina University Hospital Center, Rabat, Morocco. 
      re.hind19@gmail.com.
AD  - Mohammed V University, Rabat, Morocco. re.hind19@gmail.com.
FAU - Bouhdadi, Hanae
AU  - Bouhdadi H
AD  - Mohammed V University, Rabat, Morocco.
AD  - Cardiovascular Surgery A Department, Ibn Sina University Hospital Center, Rabat, 
      Morocco.
FAU - Wazaren, Hicham
AU  - Wazaren H
AD  - Mohammed V University, Rabat, Morocco.
AD  - Cardiovascular Surgery A Department, Ibn Sina University Hospital Center, Rabat, 
      Morocco.
FAU - Ajhoun, Intissar
AU  - Ajhoun I
AD  - Mohammed V University, Rabat, Morocco.
AD  - Laboratory of Parasitology and Mycology, Ibn Sina University Hospital Center, 
      Rabat, Morocco.
FAU - Laaroussi, Mohamed
AU  - Laaroussi M
AD  - Mohammed V University, Rabat, Morocco.
AD  - Cardiovascular Surgery A Department, Ibn Sina University Hospital Center, Rabat, 
      Morocco.
FAU - Cherti, Mohammed
AU  - Cherti M
AD  - Cardiology B Department, Ibn Sina University Hospital Center, Rabat, Morocco.
AD  - Mohammed V University, Rabat, Morocco.
LA  - eng
PT  - Journal Article
DEP - 20200817
PL  - Germany
TA  - Egypt Heart J
JT  - The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of 
      Cardiology
JID - 9106952
PMC - PMC7431496
OTO - NOTNLM
OT  - Cardiac hydatidosis
OT  - Case report
OT  - Echinococcus granulosus
OT  - Pericardial effusion, Pericystectomy
OT  - Pericardial hydatid cyst
COIS- The authors declare that they have no competing interests.
EDAT- 2020/08/18 06:00
MHDA- 2020/08/18 06:01
PMCR- 2020/08/17
CRDT- 2020/08/18 06:00
PHST- 2020/05/28 00:00 [received]
PHST- 2020/08/07 00:00 [accepted]
PHST- 2020/08/18 06:00 [entrez]
PHST- 2020/08/18 06:00 [pubmed]
PHST- 2020/08/18 06:01 [medline]
PHST- 2020/08/17 00:00 [pmc-release]
AID - 10.1186/s43044-020-00085-x [pii]
AID - 85 [pii]
AID - 10.1186/s43044-020-00085-x [doi]
PST - epublish
SO  - Egypt Heart J. 2020 Aug 17;72(1):51. doi: 10.1186/s43044-020-00085-x.