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Left atrial mobile hydatid cyst mimicking left atrial myxoma and mitral stenosis and causing heart failure and

Ismail Biyik1, Seval Acar, Oktay Ergene

  • 1Department of Cardiology, Usak State Hospital, Ismetpasa Caddesi 75/1, 64100 Usak, Turkey. ismailbiyikmd@yahoo.com

The International Journal of Cardiovascular Imaging
|July 27, 2006
PubMed

Insights

Cardiac hydatid cysts are rare, mimicking left atrial myxoma. This case highlights a hydatid cyst causing heart failure symptoms like dyspnea and pulmonary edema.

Area of Science:

  • Cardiology
  • Parasitology
  • Radiology

Background:

  • Cardiac hydatid cysts are exceptionally rare manifestations of echinococcosis.
  • Hydatid disease typically affects the liver and lungs, with cardiac involvement being infrequent.

Observation:

  • A 78-year-old woman presented with dyspnea, pulmonary edema, and mitral stenosis symptoms.
  • Echocardiography revealed a mobile, calcified left atrial mass, suggestive of myxoma.
  • Concurrent giant hepatic and pulmonary hydatid cysts were identified.

Findings:

  • The left atrial mass was confirmed to be a hydatid cyst.
  • The cyst's location and characteristics mimicked a left atrial myxoma.
  • The cardiac hydatid cyst contributed to the patient's heart failure.

Implications:

  • This case underscores the importance of considering parasitic infections in cardiac mass differential diagnoses.
  • Accurate diagnosis of cardiac hydatid cysts is crucial for appropriate management and preventing complications.
  • Rare presentations of hydatid disease require a high index of suspicion in endemic areas.

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