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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
Summary
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.
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