An unusual primary left ventricular hydatid cyst complicated by cardiac tamponade and mitral regurgitation--a case report
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Published on: February 11, 2022
Orhan Maden1, Ramazan Atak, Ertan Yetgin
1Department of Cardiology, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey. orhan-birsen@ttnet.net.tr
Insights
Cardiac hydatidosis, though rare, is critical to diagnose due to severe risks. This case highlights a hydatid cyst causing cardiac tamponade and mitral regurgitation in a 55-year-old woman.
Area of Science:
- Cardiology
- Parasitology
- Infectious Diseases
Background:
- Hydatidosis is a parasitic infection caused by Echinococcus tapeworms.
- Cardiac involvement in hydatidosis is exceptionally rare, accounting for less than 2% of all hydatid disease cases.
- Early recognition and management are crucial due to potentially fatal complications.
Observation:
- A 55-year-old woman presented with symptoms indicative of cardiac compromise.
- Diagnostic imaging revealed a hydatid cyst situated on the inferoposterior wall of the left ventricle.
- The cyst was associated with significant cardiac dysfunction.
Findings:
- The patient exhibited cardiac tamponade, a life-threatening condition caused by fluid accumulation around the heart.
- Moderate mitral regurgitation was identified, indicating impaired heart valve function.
- The direct causal link between the left ventricular hydatid cyst and the observed cardiac pathology was established.
Implications:
- This case underscores the importance of considering hydatidosis in the differential diagnosis of cardiac masses and unexplained cardiac dysfunction, even in non-endemic areas.
- Prompt diagnosis and surgical intervention are essential for managing cardiac hydatidosis and preventing lethal outcomes.
- Further research into non-invasive diagnostic methods and optimal treatment strategies for cardiac hydatidosis is warranted.
Abstract:
Cardiac involvement in hydatidosis is rare but because of potentially lethal complications, its recognition is of great importance. The authors present a 55-year-old woman admitted to the clinic with cardiac tamponade and moderate mitral regurgitation caused by a hydatid cyst located at the inferoposterior wall of the left ventricle.
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