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Updated: Aug 9, 2026

Murine Fetal Echocardiography
Published on: February 15, 2013
Hydatid disease of the interventricular septum causing pericardial effusion
J G Tejada1, J Saavedra, L Molina
1Department of Cardiology and Cardiac Surgery, Doce de Octubre Hospital, Madrid, Spain. juliogtejada@yahoo.com
Insights
A rare cardiac echinococcal cyst in a 35-year-old man presented with chest pain and urticaria. Surgical removal of the hydatid cyst prevented life-threatening complications, leading to a full recovery.
Area of Science:
- Cardiology
- Parasitology
- Surgical Oncology
Background:
- Echinococcal infestation of the heart is a rare condition.
- Hydatid cysts in the interventricular septum pose diagnostic and therapeutic challenges.
Observation:
- A 35-year-old male presented with chest pain and urticaria, indicative of cardiac echinococcosis.
- Echocardiography and magnetic resonance imaging confirmed a hydatid cyst in the distal interventricular septum.
Findings:
- Surgical resection involved cyst puncture, drainage, sterilization with hypertonic glucose, and complete removal.
- The patient experienced a complete recovery and remained asymptomatic post-surgery.
Implications:
- Timely diagnosis and surgical intervention are crucial for managing cardiac hydatid cysts.
- Effective treatment prevents severe complications like cyst rupture, embolic events, and anaphylaxis.
Abstract:
Echinococcal infestation of the heart is uncommon. We report a case of a 35-year-old man with an hydatid cyst located in distal interventricular septum. Clinical presentation was chest pain and urticaria. Diagnosis was made by echocardiography and magnetic resonance imaging. Surgical resection was performed; the cyst was punctured and its content was drained, hypertonic glucose solution was instilled for sterilization, and it was removed. The patient did well and remains asymptomatic. Diagnosis and ultimate surgical treatment of this disease prevented potentially lethal complications such as cyst rupture with embolic phenomena and anaphylactic shock.
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