Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR

Manochihr Timorian; Abdul khaliq Munib; Mohammad Rafi Hamidi

doi:doi:10.11648/j.wjmcr.20210201.11

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Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR

Manochihr Timorian, Abdul khaliq Munib, Mohammad Rafi Hamidi

Published in World Journal of Medical Case Reports (Volume 2, Issue 1)

Received: 15 October 2020 Accepted: 19 November 2020 Published: 15 January 2021

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Abstract

Echinococcus is an infection caused in human by the larval stage of Echinococcus granulosus, Echinococcus multilocularis, or Echinococcus vogeli. Slowly enlarging echinococcal cyst generally remains asymptomatic until their expanding size or their space occupying effect in an involved organ elicits symptoms. The most pathognomonic finding, if demonstrable is that of daughter cyst within the larger cyst. A specific diagnosis of E. granulosus infection can be made by the examination of aspiration fluid for protoscolices, but this is not recommended due to fear of spillage and anaphylactic reactions. Serodiagnostic assays can be useful, although a negative test doses not exclude the diagnosis of echinococcosis. Detection of antibody to specific echinococcal antigen by immunoblotting has the highest degree of specificity. The liver and the lungs are the most common sites of these cysts. Cardiac hydatid cysts are found in fewer than 2% of cases of hydatidosis. In 50% of such cardiac cases, there is multiple organ involvement. A 26-year-old female presented to our emergency department with dyspnea on exertion, and a mass lesion in her right atrium, her Investigations and pre-operative transthoracic echocardiography revealed the mass located in the right atrium at the septal leaflet of the Tricuspid Valve, which was confirmed a hydatid cyst during intraoperative intervention, along with no cysts of the lungs and liver. The lesion was successfully resected, and the tricuspid valve was replaced under Cardiopulmonarybypass.

Published in	World Journal of Medical Case Reports (Volume 2, Issue 1)
DOI	10.11648/j.wjmcr.20210201.11
Page(s)	1-3
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hydatid cyst, Septal Leaflet, Tricuspid Valve, Echinococcus, Albendazole

References

[1]	Firouzi, A., Borj, M. N. P. and Ghavidel, A. A., 2019. Cardiac hydatid cyst: A rare presentation of echinococcal infection. Journal of cardiovascular and thoracic research, 11 (1), p. 75.
[2]	Tandon, S. and Darbari, A., 2006. Hydatid cyst of the right atrium: a rare presentation. Asian Cardiovascular and Thoracic Annals, 14 (3), pp. e43-e44.
[3]	Pant, B., Ramesh, A. and Selvaraj, R., 2019. Hydatid cyst of the interventricular septum–A rare cause of heart block. Indian pacing and electrophysiology journal, 19 (2), p. 79.
[4]	Yaliniz, H., Tokcan, A., Salih, O. K. and Ulus, T., 2006. Surgical treatment of cardiac hydatid disease: a report of 7 cases. Texas Heart Institute Journal, 33 (3), p. 333.
[5]	A. Nemes, M. L. Geleinjnse, R. J. van Gums et al. Cardiac multiple hydatid cyst int. J Cardiovascular Imaging, 22 (5) (2006), PP. 647-6651.
[6]	DIGHIERO, J., CANABAL, E. J., AGUIRRE, C. V., HAZAN, J. and HORJALES, J. O., 1958. Echinococcus disease of the heart. Circulation, 17 (1), pp. 127-132.
[7]	Gülmen, Ş., Kiriş, İ. and Kuralay, E., 2009. A case of right atrial hydatid cyst related with tricuspid septal leaflet and septum. Pamukkale Üniversitesi Tip Fakültesi.
[8]	Tejada, J. G., Saavedra, J., Molina, L., Forteza, A. and Gomez, C., 2001. Hydatid disease of the interventricular septum causing pericardial effusion. The Annals of thoracic surgery, 71 (6), pp. 2034-2035.
[9]	Sensoz, Y., Ozkokeli, M., Ates, M. and Akcar, M., 2005. Right ventricle hydatid cyst requiring tricuspid valve excision. International journal of cardiology, 101 (2), pp. 339-341.
[10]	Macedo, A. J., Magalhaes, M. P., Tavares, N. J., Bento, L., Sampayo, F. and Lima, M., 1997. Cardiac hydatid cyst in a child. Pediatric cardiology, 18 (3), pp. 226-228.

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APA Style

Manochihr Timorian, Abdul khaliq Munib, Mohammad Rafi Hamidi. (2021). Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World Journal of Medical Case Reports, 2(1), 1-3. https://doi.org/10.11648/j.wjmcr.20210201.11

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ACS Style

Manochihr Timorian; Abdul khaliq Munib; Mohammad Rafi Hamidi. Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World J. Med. Case Rep. 2021, 2(1), 1-3. doi: 10.11648/j.wjmcr.20210201.11

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AMA Style

Manochihr Timorian, Abdul khaliq Munib, Mohammad Rafi Hamidi. Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World J Med Case Rep. 2021;2(1):1-3. doi: 10.11648/j.wjmcr.20210201.11

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@article{10.11648/j.wjmcr.20210201.11,
  author = {Manochihr Timorian and Abdul khaliq Munib and Mohammad Rafi Hamidi},
  title = {Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {1},
  pages = {1-3},
  doi = {10.11648/j.wjmcr.20210201.11},
  url = {https://doi.org/10.11648/j.wjmcr.20210201.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210201.11},
  abstract = {Echinococcus is an infection caused in human by the larval stage of Echinococcus granulosus, Echinococcus multilocularis, or Echinococcus vogeli. Slowly enlarging echinococcal cyst generally remains asymptomatic until their expanding size or their space occupying effect in an involved organ elicits symptoms. The most pathognomonic finding, if demonstrable is that of daughter cyst within the larger cyst. A specific diagnosis of E. granulosus infection can be made by the examination of aspiration fluid for protoscolices, but this is not recommended due to fear of spillage and anaphylactic reactions. Serodiagnostic assays can be useful, although a negative test doses not exclude the diagnosis of echinococcosis. Detection of antibody to specific echinococcal antigen by immunoblotting has the highest degree of specificity. The liver and the lungs are the most common sites of these cysts. Cardiac hydatid cysts are found in fewer than 2% of cases of hydatidosis. In 50% of such cardiac cases, there is multiple organ involvement. A 26-year-old female presented to our emergency department with dyspnea on exertion, and a mass lesion in her right atrium, her Investigations and pre-operative transthoracic echocardiography revealed the mass located in the right atrium at the septal leaflet of the Tricuspid Valve, which was confirmed a hydatid cyst during intraoperative intervention, along with no cysts of the lungs and liver. The lesion was successfully resected, and the tricuspid valve was replaced under Cardiopulmonarybypass.},
 year = {2021}
}

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TY - JOUR
T1 - Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR
AU - Manochihr Timorian
AU - Abdul khaliq Munib
AU - Mohammad Rafi Hamidi
Y1 - 2021/01/15
PY - 2021
N1 - https://doi.org/10.11648/j.wjmcr.20210201.11
DO - 10.11648/j.wjmcr.20210201.11
T2 - World Journal of Medical Case Reports
JF - World Journal of Medical Case Reports
JO - World Journal of Medical Case Reports
SP - 1
EP - 3
PB - Science Publishing Group
SN - 2994-726X
UR - https://doi.org/10.11648/j.wjmcr.20210201.11
AB - Echinococcus is an infection caused in human by the larval stage of Echinococcus granulosus, Echinococcus multilocularis, or Echinococcus vogeli. Slowly enlarging echinococcal cyst generally remains asymptomatic until their expanding size or their space occupying effect in an involved organ elicits symptoms. The most pathognomonic finding, if demonstrable is that of daughter cyst within the larger cyst. A specific diagnosis of E. granulosus infection can be made by the examination of aspiration fluid for protoscolices, but this is not recommended due to fear of spillage and anaphylactic reactions. Serodiagnostic assays can be useful, although a negative test doses not exclude the diagnosis of echinococcosis. Detection of antibody to specific echinococcal antigen by immunoblotting has the highest degree of specificity. The liver and the lungs are the most common sites of these cysts. Cardiac hydatid cysts are found in fewer than 2% of cases of hydatidosis. In 50% of such cardiac cases, there is multiple organ involvement. A 26-year-old female presented to our emergency department with dyspnea on exertion, and a mass lesion in her right atrium, her Investigations and pre-operative transthoracic echocardiography revealed the mass located in the right atrium at the septal leaflet of the Tricuspid Valve, which was confirmed a hydatid cyst during intraoperative intervention, along with no cysts of the lungs and liver. The lesion was successfully resected, and the tricuspid valve was replaced under Cardiopulmonarybypass.
VL - 2
IS - 1
ER -

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Author Information

Manochihr Timorian

Department of Cardiothoracic and Vascular Surgery, Global Medical Complex Heart Institute, Kabul, Afghanistan
Abdul khaliq Munib

Department of Cardiology, Herat Heart Hospital, Heart, Afghanistan
Mohammad Rafi Hamidi

Department of Cardiothoracic and Vascular Surgery, Global Medical Complex Heart Institute, Kabul, Afghanistan

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APA Style

Manochihr Timorian, Abdul khaliq Munib, Mohammad Rafi Hamidi. (2021). Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World Journal of Medical Case Reports, 2(1), 1-3. https://doi.org/10.11648/j.wjmcr.20210201.11

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ACS Style

Manochihr Timorian; Abdul khaliq Munib; Mohammad Rafi Hamidi. Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World J. Med. Case Rep. 2021, 2(1), 1-3. doi: 10.11648/j.wjmcr.20210201.11

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AMA Style

Manochihr Timorian, Abdul khaliq Munib, Mohammad Rafi Hamidi. Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR. World J Med Case Rep. 2021;2(1):1-3. doi: 10.11648/j.wjmcr.20210201.11

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@article{10.11648/j.wjmcr.20210201.11,
  author = {Manochihr Timorian and Abdul khaliq Munib and Mohammad Rafi Hamidi},
  title = {Right Atrium Hydatid Cyst at the Septal Leaflet of the Tricuspid Valve, Underwent TVR},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {1},
  pages = {1-3},
  doi = {10.11648/j.wjmcr.20210201.11},
  url = {https://doi.org/10.11648/j.wjmcr.20210201.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210201.11},
  abstract = {Echinococcus is an infection caused in human by the larval stage of Echinococcus granulosus, Echinococcus multilocularis, or Echinococcus vogeli. Slowly enlarging echinococcal cyst generally remains asymptomatic until their expanding size or their space occupying effect in an involved organ elicits symptoms. The most pathognomonic finding, if demonstrable is that of daughter cyst within the larger cyst. A specific diagnosis of E. granulosus infection can be made by the examination of aspiration fluid for protoscolices, but this is not recommended due to fear of spillage and anaphylactic reactions. Serodiagnostic assays can be useful, although a negative test doses not exclude the diagnosis of echinococcosis. Detection of antibody to specific echinococcal antigen by immunoblotting has the highest degree of specificity. The liver and the lungs are the most common sites of these cysts. Cardiac hydatid cysts are found in fewer than 2% of cases of hydatidosis. In 50% of such cardiac cases, there is multiple organ involvement. A 26-year-old female presented to our emergency department with dyspnea on exertion, and a mass lesion in her right atrium, her Investigations and pre-operative transthoracic echocardiography revealed the mass located in the right atrium at the septal leaflet of the Tricuspid Valve, which was confirmed a hydatid cyst during intraoperative intervention, along with no cysts of the lungs and liver. The lesion was successfully resected, and the tricuspid valve was replaced under Cardiopulmonarybypass.},
 year = {2021}
}

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