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Published on: August 28, 2018

Coronary narrowing secondary to compression by pericardial hydatid cyst

Aziz Karadede, Omer Alyan, Murat Sucu

    International Journal of Cardiology
    |March 14, 2007
    PubMed

    Insights

    A rare pericardial hydatid cyst mimicked acute coronary syndrome. Diagnosis involved echocardiography, MRI, and serology, with albendazole treatment used when surgery was refused.

    Area of Science:

    • Cardiology
    • Parasitology
    • Infectious Diseases

    Background:

    • Echinococcus granulosus infections are prevalent in developing regions, typically affecting the liver and lungs.
    • Cardiac involvement by Echinococcus granulosus is rare, posing diagnostic challenges.

    Observation:

    • A case report details a pericardial hydatid cyst compressing the left ventricle.
    • The cyst's location mimicked symptoms of acute coronary syndrome.

    Findings:

    • Transthoracic 2D echocardiography, cardiac MRI, and serologic tests confirmed the diagnosis.
    • The patient received albendazole therapy due to refusal of surgical intervention.

    Implications:

    • Recognizing this rare presentation of Echinococcus granulosus is crucial for timely diagnosis and management.
    • Prompt identification can prevent severe complications associated with pericardial hydatid cysts.

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