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Cardiac hydatid cysts located in both the left ventricular apex and the intraventricular septum: case report
M S Ulgen1, S Alan, A Karadede
1School of Medicine, Department of Cardiology, Dicle University, Diyarbakir, Turkey. ulgen@hotmail.com
Insights
Cardiac hydatid cysts are rare, typically affecting the left ventricle. This case highlights an unusual involvement of both the left ventricle and interventricular septum, leading to fatal cerebral embolism.
Area of Science:
- Cardiology
- Parasitology
- Medical Imaging
Background:
- Cardiac hydatid cysts are uncommon, representing 0.5%-2% of all hydatid disease cases.
- While left ventricular involvement is documented, concurrent involvement of the interventricular septum is rare.
Observation:
- A case of cardiac hydatid cyst is presented.
- The cyst involved both the left ventricle and the interventricular septum.
- Transthoracic echocardiography was used for diagnosis.
Findings:
- The patient experienced fatal recurrent cerebral embolism.
- Unusual involvement of both the left ventricle and interventricular septum by the hydatid cyst was identified.
- This specific anatomical involvement has not been previously reported.
Implications:
- This case expands the understanding of cardiac hydatid cyst presentation.
- Highlights the potential for severe embolic complications even with rare anatomical locations.
- Emphasizes the importance of detailed imaging for diagnosing complex cardiac parasitic infections.
Abstract:
Cardiac hydatid cyst is rarely encountered and constitutes 0.5%-2% of all hydatid cases. Although left ventricular (LV) location for hydatid cysts has been frequently reported, the involvement of both the left ventricle and the interventricular septum (IVS) has not been previously reported in the literature. We present a case of cardiac hydatid cyst with fatal recurrent cerebral embolism and the unusual involvement of both LV and IVS demonstrated by transthoracic echocardiography.
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