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Incidental Left Ventricular Myocardial Hydatid Cyst - A case report

Naqibullah Foladi1, Farhad Farzam1,2, Mer Mahmood Shah Hoshang3

  • 1Department of Radiology, Wyagal Radiology Center, Kabul, Afghanistan.

Radiology Case Reports
|January 3, 2022
PubMed

Insights

Hydatid disease, a rare parasitic infection, can affect the heart. Early diagnosis via CT scans and prompt surgical treatment are crucial to prevent life-threatening complications from cardiac echinococcosis.

Area of Science:

  • Parasitology
  • Cardiology
  • Radiology

Background:

  • Hydatid disease, caused by Echinococcus granulosus, is a parasitic infection.
  • While it can affect any organ, cardiac and mediastinal involvement is exceptionally rare.
  • Complications can be fatal, underscoring the need for timely diagnosis and treatment.

Observation:

  • Computed tomography (CT) is the preferred diagnostic imaging modality.
  • Abdominal CT surveys may incidentally detect cardio-mediastinal hydatid disease.
  • A case of a left ventricular hydatid cyst co-occurring with hepatic cysts is presented.

Findings:

  • The study highlights the potential for hydatid cysts to manifest in the heart, specifically the left ventricle.
  • Co-existence with hepatic hydatid cysts was observed.
  • CT imaging proved effective in identifying the cardiac cyst.

Implications:

  • Early diagnosis of cardiac hydatid disease is vital for preventing severe complications.
  • Surgical intervention under cardiopulmonary bypass is the definitive treatment.
  • Radiologists and clinicians should consider cardiac involvement in suspected hydatid disease cases, even with initial abdominal imaging.

Keywords:
CVS, cardiovascular systemCardiac, Hydatid disease, Echinococcosis, Echinococcus granulosis. Abbreviations: CT, computed tomographyMRI, magnetic resonance imaging

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