Konstriktif Perikardite Neden Olan Perikardiyal Kist Hidatik ve Cerrahi Tedavisi
Özet
Ekinokokkus granülosus larvalarının neden olduğu sistemik paraziter enfeksiyon olan kist hidatik hastalığı kardiyak tutulumun nadir görüldüğü bir sağlık problemidir. Tüm kist hidatik vakalarının %0.02-%2’sinde kardiyak tutulum görülmektedir . Kalpte ise en sık interventriküler septum ve sol ventrikül serbest duvarı tutulmaktadır. Perikardiyal tutulum ise kardiyak tutulum olan tüm kist hidatik vakalarının %8’ini oluşturmaktadır. Konstriktif perikardite ise hastalık sürecinde gelişen perikardiyal fibrozis ve inflamasyon neden olmaktadır. Kist rüptürü ise kistin bulunduğu yere göre kardiyak tamponada, anaflaksiye ve emboliye neden olabilmektedir. Perikardiyal kist hidatik ve buna bağlı kronik konstriktif perikardit geliştiği durumlarda kist hidatik rezeksiyonu ve perikardiyektomi yapılmaktadır. Biz burada cerrahi olarak tedavi ettiğimiz miyokarda invaze olmadan izole perikard tutulumunun ve konstriktif perikardit kliniğinin birlikte görüldüğü çok nadir bir kist hidatik hastalığı vakasını sunmaktayız.
Hydatid cyst disease, a systemic parasitic infection caused by the larvae of Echinococcus granulosus, poses a health issue where cardiac involvement is rarely observed. Cardiac involvement occurs in 0.02%-2% of all hydatid cyst cases. The interventricular septum and the left ventricular free wall are the most commonly affected areas of the heart. Pericardial involvement represents 8% of all hydatid cyst cases with cardiac complications. Constrictive pericarditis arises from pericardial fibrosis and inflammation that develops during the disease process. Cyst rupture may lead to cardiac tamponade, anaphylaxis, or embolism, depending on the cyst's location. In instances where pericardial hydatid cysts and chronic constrictive pericarditis develop, surgical interventions such as hydatid cyst resection and pericardiectomy are performed. Here, we present a rare case of hydatid cyst disease characterized by isolated pericardial involvement and constrictive pericarditis without myocardial invasion, which we treated surgically. Keywords: Constrictive pericarditis, cardiac hydatid cyst
Referanslar
Perez-Gomez F, Duran H, Tamames S, Perrote JL, Blanes A. Cardiac echinococcosis: clinical picture and complications. Br Heart J. 1973;35(12):1326-1331.
Kudaiberdiev T, Djoshibaev S, Yankovskaya L, Djumanazarov A. Multiple hydatid cysts of epicardium and pericardium. Int J Cardiol. 2001 Dec;81(2-3):265-7. doi: 10.1016/s0167-5273(01)00554-x. PMID: 11744146.
Kaplan M, Demirtas M, Cimen S, Ozler A. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg 2001;71(5):1587- 1590.
Birincioglu CL, Bardakci H, Kucuker SA, et al. A clinical dilemma: cardiac and pericardiac echinococcosis. Ann Thorac Surg 1999;68:1290–4.
Thameur H, Abdelmoula S, Chenik S, et al. Cardiope- ricardial hydatid cysts. World J Surg 2001; 25: 58-67.
Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radiograph- ics. 2003;23(2):475-494; quiz 536-477.
De Martini M, Nador F, Binda A, Arpesani A, Odero A, Lotto A. Myocardial hydatid cyst ruptured into the peri- cardium: Crosssectional echocardiographic study and surgical treatment. Eur Heart J 1988;9:819-24.
Malamou-Mitsi VM, Papa L, Vougiouklakis T, Peschos D, Kazakos N, Grekas G ve ark. Sudden death due to an unrecognized cardiac hydatid cyst. J Forensic Sci 2002;47:1062–4
Gouriet F, Levy PY, Casalta JP, Zandotti C, Collart F, Lepidi H ve ark. Etiology of pericarditis in a prospective cohort of 1162 cases. Am J Med 2015;128:784.e1 – 784.e8.
Berry MF. Evaluation of mediastinal masses. In: UptoDate. Wellesley, MA: Upto- Date Online, http://www.uptodate.com; accessed 10 September 2014.
Imazio M, Brucato A, Adler Y, Brambilla G, Artom G, Cecchi E ve ark. Prognosis of idiopathic recurrent pericarditis as determined from previously published reports. Am J Cardiol 2007;100:1026–1028.
2015 ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal (2015) 36, 2921–2964 doi:10.1093/eurheartj/ehv318 .
Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R ve ark. Risk of constrictive pericarditis after acute pericarditis. Circulation 2011;124:1270 – 1275.
Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD ve ark. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation 2003;108:1852–1857.
Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B ve ark. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr 2013;26:965–1012.e15.
Cosyns B, Plein S, Nihoyanopoulos P, Smiseth O, Achenbach S, Andrade MJ ve ark; on behalf of the European Association of Cardiovascular Imaging (EACVI) and European Society of Cardiology Working Group (ESC WG) on Myocardial and Pericardial diseases. European Association of Cardiovascular Imaging (EACVI) position paper: multimodality imaging in pericardial disease. Eur Heart J Cardiovasc Imaging 2014;16:12–31.
Imazio M, Brucato A, Mayosi BM, Derosa FG, Lestuzzi C, Macor A ve ark. Medical therapy of pericardial diseases: part II: noninfectious pericarditis, pericardial effusion and constrictive pericarditis. J Cardiovasc Med (Hagerstown) 2010;11:785–794.
Sagrista-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J. Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 1987;59:961 – 966.
Sagrista-Sauleda J, Angel J, Sanchez A, Permanyer-Miralda G, Soler-Soler J. Effusive-constrictive pericarditis. N Engl J Med 2004;350:469–475.
Ntsekhe M, Wiysonge CS, Commerford PJ, Mayosi BM. The prevalence and out- come of effusive constrictive pericarditis: a systematic review of the literature. Cardiovasc J Afr 2012;23:281 – 25.
DeValeria PA, Baumgartner WA, Casale AS, Greene PS, Cameron DE, Gardner TJ, ve ark. Current indications, risks, and out- come after pericardiectomy. Ann Thorac Surg 1991;52:219–224.
Chowdhury UK, Subramaniam GK, Kumar AS, Airan B, Singh R, Talwar S ve ark. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006;81:522 – 529.
Referanslar
Perez-Gomez F, Duran H, Tamames S, Perrote JL, Blanes A. Cardiac echinococcosis: clinical picture and complications. Br Heart J. 1973;35(12):1326-1331.
Kudaiberdiev T, Djoshibaev S, Yankovskaya L, Djumanazarov A. Multiple hydatid cysts of epicardium and pericardium. Int J Cardiol. 2001 Dec;81(2-3):265-7. doi: 10.1016/s0167-5273(01)00554-x. PMID: 11744146.
Kaplan M, Demirtas M, Cimen S, Ozler A. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg 2001;71(5):1587- 1590.
Birincioglu CL, Bardakci H, Kucuker SA, et al. A clinical dilemma: cardiac and pericardiac echinococcosis. Ann Thorac Surg 1999;68:1290–4.
Thameur H, Abdelmoula S, Chenik S, et al. Cardiope- ricardial hydatid cysts. World J Surg 2001; 25: 58-67.
Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radiograph- ics. 2003;23(2):475-494; quiz 536-477.
De Martini M, Nador F, Binda A, Arpesani A, Odero A, Lotto A. Myocardial hydatid cyst ruptured into the peri- cardium: Crosssectional echocardiographic study and surgical treatment. Eur Heart J 1988;9:819-24.
Malamou-Mitsi VM, Papa L, Vougiouklakis T, Peschos D, Kazakos N, Grekas G ve ark. Sudden death due to an unrecognized cardiac hydatid cyst. J Forensic Sci 2002;47:1062–4
Gouriet F, Levy PY, Casalta JP, Zandotti C, Collart F, Lepidi H ve ark. Etiology of pericarditis in a prospective cohort of 1162 cases. Am J Med 2015;128:784.e1 – 784.e8.
Berry MF. Evaluation of mediastinal masses. In: UptoDate. Wellesley, MA: Upto- Date Online, http://www.uptodate.com; accessed 10 September 2014.
Imazio M, Brucato A, Adler Y, Brambilla G, Artom G, Cecchi E ve ark. Prognosis of idiopathic recurrent pericarditis as determined from previously published reports. Am J Cardiol 2007;100:1026–1028.
2015 ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal (2015) 36, 2921–2964 doi:10.1093/eurheartj/ehv318 .
Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R ve ark. Risk of constrictive pericarditis after acute pericarditis. Circulation 2011;124:1270 – 1275.
Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD ve ark. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation 2003;108:1852–1857.
Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B ve ark. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr 2013;26:965–1012.e15.
Cosyns B, Plein S, Nihoyanopoulos P, Smiseth O, Achenbach S, Andrade MJ ve ark; on behalf of the European Association of Cardiovascular Imaging (EACVI) and European Society of Cardiology Working Group (ESC WG) on Myocardial and Pericardial diseases. European Association of Cardiovascular Imaging (EACVI) position paper: multimodality imaging in pericardial disease. Eur Heart J Cardiovasc Imaging 2014;16:12–31.
Imazio M, Brucato A, Mayosi BM, Derosa FG, Lestuzzi C, Macor A ve ark. Medical therapy of pericardial diseases: part II: noninfectious pericarditis, pericardial effusion and constrictive pericarditis. J Cardiovasc Med (Hagerstown) 2010;11:785–794.
Sagrista-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J. Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 1987;59:961 – 966.
Sagrista-Sauleda J, Angel J, Sanchez A, Permanyer-Miralda G, Soler-Soler J. Effusive-constrictive pericarditis. N Engl J Med 2004;350:469–475.
Ntsekhe M, Wiysonge CS, Commerford PJ, Mayosi BM. The prevalence and out- come of effusive constrictive pericarditis: a systematic review of the literature. Cardiovasc J Afr 2012;23:281 – 25.
DeValeria PA, Baumgartner WA, Casale AS, Greene PS, Cameron DE, Gardner TJ, ve ark. Current indications, risks, and out- come after pericardiectomy. Ann Thorac Surg 1991;52:219–224.
Chowdhury UK, Subramaniam GK, Kumar AS, Airan B, Singh R, Talwar S ve ark. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006;81:522 – 529.
