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Cardiac echinococcosis: echocardiographic diagnosis with a fatal clinical outcome

Hayat M Al-Mahroos1, Taysir S Garadah, Mohamed H Aref

  • 1Medical Department, Cardiac Division, Arabian Gulf University, Salmaniya Medical Complex, Manama, Bahrain.

Saudi Medical Journal
|November 29, 2005
PubMed

Insights

Hydatid disease (HD) rarely affects the heart, but calcific cysts in the left ventricle can cause fatal complications. Echocardiography is essential for diagnosing cardiac involvement in HD patients.

Area of Science:

  • Cardiology
  • Parasitology
  • Infectious Diseases

Background:

  • Hydatid disease (HD) is a parasitic infection caused by Echinococcus granulosus.
  • While liver and lung involvement are common, cardiac manifestations are rare but serious.

Observation:

  • A middle-aged female presented with unrecordable blood pressure.
  • Echocardiogram revealed multiple calcific cysts of Echinococcus granulosus within the left ventricle.

Findings:

  • Cardiac hydatid disease can present with severe hemodynamic compromise.
  • Calcific cysts in the left ventricle can lead to critical obstruction and potentially fatal outcomes.

Implications:

  • Echocardiography is crucial for detecting cardiac involvement in patients with known HD.
  • Prompt diagnosis and management of cardiac hydatid disease are vital due to its high fatality rate.

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