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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.

Surgery Today
|January 5, 2002
PubMed

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.

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