[Chronic Right Ventricular Failure Revealing a Large Compressive Hydatid Cyst at the Cardiology Department of the

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S A Sarr1, F Aw1, M Ndiaye1

  • 1Service de cardiologie du Centre hospitalier universitaire Aristide Le Dantec, Dakar, Sénégal.

Bulletin De La Societe De Pathologie Exotique (1990)
|February 1, 2020
PubMed

Insights

This case report details a rare instance of pericardial hydatidosis caused by Echinococcus granulosus larva. The infection led to severe right heart failure and a fatal outcome despite medical treatment.

Area of Science:

  • Cardiology
  • Parasitology
  • Infectious Diseases

Background:

  • Hydatidosis, a parasitic infection caused by Echinococcus granulosus, is endemic in many regions.
  • Pericardial hydatid cyst, without other cardiac involvement, is an exceptionally rare presentation.

Observation:

  • A 65-year-old patient presented with a 4-month history of limb edema, tricuspid regurgitation, and right heart failure syndrome.
  • Echocardiography and CT revealed a large intrapericardial hydatid cyst compressing the right heart cavities.
  • Hydatid serology was negative, and the patient declined surgery.

Findings:

  • The intrapericardial hydatid cyst measured 86x61 mm, causing a significant mass effect on the right cardiac chambers.
  • Despite treatment with albendazole and diuretics, the patient experienced a fatal outcome within two months.

Implications:

  • This case highlights the critical importance of considering rare parasitic infections like hydatidosis in cardiac emergencies.
  • Delayed diagnosis or treatment of intrapericardial hydatid cysts can lead to severe complications and mortality.
  • Further research into optimal management strategies for this rare condition is warranted.

Keywords:
Afrique intertropicaleCompressionDakarHydatidoseHôpitalInsuffisance cardiaqueKystePéricardeSénégal

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