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Marked narrowing of right heart chambers due to compression by giant hepatic hydatid cyst

Ozgur Ulas Ozcan1, Hacer Adanir Er, Sibel Turhan

  • 1Cardiology Department, Ankara University, Ankara, Turkey.

Echocardiography (Mount Kisco, N.Y.)
|August 3, 2013
PubMed

Insights

Giant hepatic hydatid cysts can mimic valvular heart disease by externally compressing the heart. Surgical removal of the cyst resolved tricuspid stenosis symptoms in a patient, highlighting echinococcosis as a rare cause of cardiac compression.

Area of Science:

  • Cardiology
  • Parasitology
  • Radiology

Background:

  • External cardiac compression can manifest as valvular heart disease.
  • Hepatic hydatid cysts are parasitic infections of the liver caused by Echinococcus granulosus.

Observation:

  • A 50-year-old woman presented with symptoms suggestive of tricuspid stenosis.
  • Imaging revealed a giant hepatic hydatid cyst.
  • The cyst was causing external compression of the heart.

Findings:

  • The patient was diagnosed with a giant hepatic hydatid cyst.
  • Surgical excision of the cyst led to complete resolution of cardiac symptoms.
  • This case demonstrates an unusual presentation of echinococcosis.

Implications:

  • Echinococcosis should be considered in the differential diagnosis of patients presenting with external cardiac compression.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes.
  • This case underscores the importance of a comprehensive diagnostic approach in complex medical presentations.

Keywords:
cysts hydatidtricuspid valve stenosis

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