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Hydatid disease of the interventricular septum: Echocardiographic and computed tomography findings

Brett Wegner1, Ruchika Meel2,3, Tamarin Nell1,4

  • 1Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

SA Journal of Radiology
|January 4, 2021
PubMed

Insights

Hydatid disease (HD) is a concern in South Africa. This case highlights cardiac HD, a rare condition, emphasizing the importance of multimodality imaging for diagnosis and assessment.

Area of Science:

  • Medical Imaging
  • Parasitology
  • Cardiology

Background:

  • Hydatid disease (HD) is endemic in South Africa.
  • Cardiac involvement in HD is rare but clinically significant.
  • Early diagnosis and assessment are crucial for patient management.

Purpose of the Study:

  • To report a case of cardiac hydatid disease.
  • To illustrate the role of multimodality imaging in diagnosing cardiac HD.
  • To emphasize the diagnostic utility of CT and echocardiography in cardiac HD.

Main Methods:

  • Computed tomography (CT) of the chest.
  • Two- and three-dimensional transoesophageal echocardiography (TOE).
  • Multimodality imaging approach.

Main Results:

  • Incidental finding of cardiac HD on chest CT in a patient with pulmonary HD.
  • Confirmation of cardiac HD involving the interventricular septum.
  • Detailed imaging assessment provided by CT and TOE.

Conclusions:

  • Cardiac HD is a rare but critical manifestation of hydatid disease.
  • Multimodality imaging, including CT and TOE, is essential for diagnosis.
  • Comprehensive imaging aids in detailed patient assessment for cardiac HD.

Keywords:
cardiac hydatid diseasecomputer tomographyinterventricular septumsub-Saharan Africatransoesophageal echocardiography

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