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A pericardial hydatid cyst masquerading as acute inferolateral myocardial infarction--a case report

Mehmet Ileri1, Ismet Hisar, Ramazan Atak

  • 1Türkiye Yüksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey. maraspoli2000@yahoo.com

Angiology
|September 30, 2005
PubMed

Insights

A rare pericardial hydatid cyst mimicked a heart attack due to ST segment elevations. Surgical removal resolved the symptoms, highlighting the importance of considering this diagnosis in endemic regions.

Area of Science:

  • Cardiology
  • Parasitology

Background:

  • Pericardial hydatid cysts are rare parasitic infections.
  • Echinococcus granulosus is the common causative agent.

Observation:

  • A patient presented with severe chest pain and ST segment elevations mimicking myocardial infarction.
  • Electrocardiography showed inferolateral ST elevation.
  • Cardiac imaging revealed a pericardial hydatid cyst near the left ventricle.

Findings:

  • Coronary angiography and cardiac catheterization showed normal coronary arteries and left ventricular function.
  • Surgical resection of the pericardial hydatid cyst led to the resolution of ST segment elevations and chest pain.

Implications:

  • Pericardial hydatid cysts can present as acute coronary syndromes.
  • Consider hydatid cysts in the differential diagnosis of chest pain in endemic areas.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.

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