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Thrombotic cardiac apex hydatid cyst

Feridoun Sabzi1, Hamid Madani2, Samsam Dabiri1

  • 1Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Indian Heart Journal
|December 26, 2015
PubMed

Insights

A rare cardiac hydatid cyst (HC) in the left ventricular apex was surgically removed in a patient presenting with chest pain. Successful treatment involved surgery and Albendazole therapy, with no recurrence observed.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Parasitology

Background:

  • Hydatid cyst (HC) is a parasitic infestation endemic in cattle-breeding regions.
  • Cardiac involvement by HC is uncommon, with left ventricular apex involvement being exceedingly rare.

Observation:

  • A 45-year-old male presented with chest pain and a cystic lesion at the cardiac apex.
  • Transthoracic echocardiography (TTE) and magnetic resonance imaging (MRI) were used for diagnosis.
  • Differential diagnoses included cystic tumors, HC, or aneurysm.

Findings:

  • Surgery confirmed a thrombotic hydatid cyst at the left ventricular apex.
  • The cyst and thrombus were successfully excised via on-pump cardiac surgery.
  • Postoperative treatment included a 4-week course of Albendazole therapy.

Implications:

  • This case highlights the importance of considering rare parasitic infections in cardiac diagnostics.
  • Surgical excision combined with antiparasitic medication is an effective treatment for cardiac hydatid cysts.
  • Complete healing and absence of recurrence were confirmed by 6-month TTE follow-up.

Keywords:
Chest painEchocardiographyHydatid cyst

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