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Ruptured cardiac hydatid cyst masquerading as acute coronary syndrome: report of a case
H H Telli1, K Durgut, A Temizhan
1Department of Cardiology, University Hospital, Medical School of Selçuk University, Konya, Turkey.
Insights
A rare cardiac hydatid cyst in a 40-year-old man presented atypically. The cyst ruptured into the left ventricle, causing thrombus formation, despite minimal symptoms.
Area of Science:
- Cardiology
- Parasitology
- Surgical Case Reports
Background:
- Hydatid cysts typically affect organs like the liver and lungs.
- Cardiac involvement by hydatid cysts is exceptionally rare, posing diagnostic and therapeutic challenges.
Observation:
- A 40-year-old male presented with suspected acute coronary syndrome.
- Echocardiography and angiography revealed a cardiac cyst at the left ventricular apex near the left anterior descending artery.
Findings:
- Surgical exploration showed a partially ruptured hydatid cyst within the left ventricle, filled with thrombus.
- The patient exhibited a severe cardiac complication with minimal correlating symptoms, highlighting diagnostic difficulty.
Implications:
- This case underscores the importance of considering rare parasitic infections in cardiac diagnostics.
- It highlights the potential for severe, asymptomatic cardiac complications from hydatid cysts, necessitating high clinical suspicion.
Abstract:
The case of a 40-year-old man hospitalized for investigation of a doubtful diagnosis of acute coronary syndrome is reported herein. Two-dimensional echocardiography and angiography showed a cardiac cyst localized in the left ventricular apex in close proximity to the left anterior descending coronary artery. Surgery performed with the aid of cardiopulmonary bypass revealed that the cyst had ruptured partially into the left ventricle and filled with thrombus. This case is of particular interest because of the rarity of cardiac localization of a hydatid cyst, and the conflict between the severity of the complications that occurred and the absence of correlated symptoms.