Ruptured intracardiac hydatid cyst presenting as acute coronary syndrome

Area of Science:

• Cardiology
• Parasitology
• Infectious Diseases

Background:

• Hydatid disease, caused by Echinococcus granulosus larvae, is endemic in developing regions.
• Cardiac involvement is a rare but severe complication, often presenting with nonspecific symptoms.
• Symptoms can mimic acute coronary syndrome, complicating diagnosis.

Observation:

• A case of a ruptured left ventricular hydatid cyst is presented.
• The patient exhibited symptoms and electrocardiographic changes consistent with acute inferolateral myocardial infarction.
• Coronary angiography showed normal coronary arteries, necessitating further investigation.

Findings:

• Echocardiography and magnetic resonance imaging were crucial for the final diagnosis.
• The findings confirmed a hydatid cyst within the left ventricle.
• Diagnosis of cardiac hydatid disease was established.

Implications:

• This case highlights the importance of considering parasitic infections in cardiac emergencies.
• Advanced imaging modalities are vital for diagnosing rare cardiac conditions.
• Successful management involves surgical resection and antiparasitic therapy (albendazole).