Hydatid cyst of the left ventricle of the heart

Area of Science:

• Cardiology
• Parasitology
• Radiology

Background:

• Hydatid disease, caused by Echinococcus granulosus, is uncommon in the heart.
• Cardiac hydatid cysts can present as diagnostic challenges.
• Early and accurate diagnosis is crucial for patient management.

Purpose of the Study:

• To report a rare case of a hydatid cyst in the left ventricle.
• To highlight the diagnostic utility of echocardiography in cardiac echinococcosis.
• To emphasize the importance of considering hydatid cyst in the differential diagnosis of cardiac masses.

Main Methods:

• Transthoracic and transesophageal echocardiography were utilized to visualize the cardiac mass.
• Intra-operative diagnosis was achieved.
• Cyst fluid analysis confirmed the presence of Echinococcus granulosus structures (scolex and hooklets).

Main Results:

• A mixed echogenic mass was identified originating from the left ventricle.
• The diagnosis of hydatid cyst was definitively confirmed through microscopic examination of cyst contents.
• The patient's diagnosis was established intra-operatively.

Conclusions:

• Hydatid cyst of the left ventricle is a rare but important consideration in cardiac masses.
• Echocardiography is a valuable tool for the initial assessment of suspected cardiac hydatid disease.
• The presence of scolex and hooklets in cyst fluid is diagnostic for hydatid cyst.