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Cardiac hydatid cyst: A rare presentation of echinococcal infection

Ata Firouzi1, Mohsen Neshati Pir Borj1, Alireza Alizadeh Ghavidel2

  • 1Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Journal of Cardiovascular and Thoracic Research
|April 27, 2019
PubMed

Insights

A large hydatid cyst in the heart

Area of Science:

  • Cardiology
  • Parasitology
  • Medical Imaging

Background:

  • Echinococcal infections can rarely affect the heart.
  • Cardiac hydatid cysts pose diagnostic and therapeutic challenges.

Observation:

  • A 57-year-old man presented with atypical chest pain.
  • Transthoracic echocardiography revealed a large, well-defined, intra-myocardial multicystic mass in the left ventricle, highly suggestive of a hydatid cyst.

Findings:

  • Enzyme-linked immunosorbent assay (ELISA) confirmed positive hydatid cyst antibodies.
  • No other organ system involvement was detected.
  • The patient was initiated on Albendazole and referred for surgical resection.

Implications:

  • Echocardiography is crucial for diagnosing cardiac hydatid cysts.
  • Early diagnosis and multidisciplinary management (medical and surgical) are essential for favorable outcomes.
  • This case highlights the importance of considering parasitic infections in cardiac masses.

Keywords:
Cardiac EchinococcosisEchinococcal InfectionHydatid Cyst

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