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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Cardiac hydatidosis presenting as an acute coronary syndrome

Guruprasad Sogunuru1, D S Murty, Viswanatha Reddy Chinta

  • 1Department of Cardiology, DBR Hospitals, Tirupathi, India.

BMJ Case Reports
|July 4, 2012
PubMed

Insights

A 56-year-old man with acute coronary syndrome was diagnosed with cardiac hydatidosis due to multiple right ventricular cysts. Surgical evacuation and medical therapy led to a good recovery, with recommendations for lifelong anticoagulation and follow-up.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Parasitology

Background:

  • Cardiac hydatidosis is a rare parasitic infection caused by Echinococcus granulosus.
  • It can present with diverse clinical manifestations, often mimicking other cardiac or systemic diseases.
  • Early diagnosis and appropriate management are crucial for patient outcomes.

Observation:

  • A 56-year-old male presented with acute coronary syndrome.
  • Transthoracic echocardiography revealed multiple hydatid cysts in the right ventricle, compressing the interventricular septum.
  • CT scans identified additional cysts in the lung apex and liver, indicating polyvisceral involvement.

Findings:

  • The clinical presentation and imaging findings strongly suggested cardiac hydatidosis.
  • CT coronary angiography was normal, ruling out significant coronary artery disease.
  • Preoperative albendazole therapy was initiated, followed by surgical evacuation of the right ventricular cysts.

Implications:

  • This case highlights the importance of considering parasitic infections in the differential diagnosis of cardiac abnormalities, even in the absence of typical epidemiological risk factors.
  • Successful surgical management combined with medical therapy can lead to favorable outcomes in cardiac hydatidosis.
  • Long-term follow-up, anticoagulation, and prophylactic measures are essential to prevent recurrence and manage potential complications.

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