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Three-Dimensional Echocardiographic Method for the Visualization and Assessment of Specific Parameters of the Pulmonary Veins
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Pericardial hydatid cyst in oblique sinus, obstructing all pulmonary veins: a rare presentation

Neda Behzadnia1, Zargam Hossein-Ahmadi1, Babak Sharif-Kashani1

  • 1Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences.

Tanaffos
|September 6, 2014
PubMed

Insights

A rare heart hydatid cyst caused severe breathing problems in a 35-year-old woman. The cyst, located in the pericardial oblique sinus, blocked pulmonary veins, leading to significant shortness of breath.

Area of Science:

  • Cardiology
  • Parasitology
  • Radiology

Background:

  • Hydatidosis is a parasitic infection caused by Echinococcus granulosus.
  • Cardiac involvement in hydatidosis is rare, with most cases occurring in the liver or lungs.
  • Pericardial hydatid cysts are exceptionally uncommon.

Observation:

  • A 35-year-old female presented with progressive dyspnea and severe orthopnea.
  • Imaging revealed a pericardial hydatid cyst in the oblique sinus.
  • The cyst extended to the left atrium's posterior wall, obstructing all pulmonary vein ostia.

Findings:

  • The case highlights an unusual cardiac manifestation of hydatidosis.
  • The cyst's location and extension caused significant pulmonary venous obstruction.
  • Surgical intervention was necessary to manage the life-threatening condition.

Implications:

  • This case underscores the importance of considering rare diagnoses in patients with unexplained cardiorespiratory symptoms.
  • Early diagnosis and prompt surgical management are crucial for favorable outcomes in cardiac hydatidosis.
  • Further research into the prevalence and management of cardiac hydatid cysts is warranted.

Keywords:
Cardiac Hydatid CystOrthopneaPericardial Oblique Sinus

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