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Cardiac Hydatid Disease with Palpitations as the Only Presenting Complaint: The Egg in the Nest

Ali Azari1, Leila Bigdelu1, Ossama Maadarani2

  • 1Division of Cardiovascular Medicine, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

European Journal of Case Reports in Internal Medicine
|May 19, 2023
PubMed

Insights

Hydatid disease, a parasitic infection, rarely affects the heart. This case highlights surgical removal for isolated left ventricle hydatid cysts, even with negative serology, proving effective.

Area of Science:

  • Parasitology
  • Cardiology
  • Infectious Diseases

Background:

  • Hydatid disease (cystic echinococcosis) is a parasitic infection caused by Echinococcus granulosus larvae.
  • While typically affecting the liver and lungs, it can manifest in any organ.
  • Isolated cardiac involvement is an exceptionally rare presentation.

Purpose of the Study:

  • To report a unique case of isolated hydatid cyst in the left ventricle.
  • To emphasize the diagnostic challenges, including negative serological tests.
  • To highlight the successful management through surgical intervention.

Main Methods:

  • Presentation of a clinical case involving a patient with an isolated left ventricle hydatid cyst.
  • Diagnostic workup included imaging and serological tests.
  • Treatment involved surgical excision of the cyst.
  • Histopathological examination confirmed the diagnosis.

Main Results:

  • The patient presented with an isolated left ventricle hydatid cyst.
  • Serological tests for echinococcosis were negative.
  • Surgical removal of the cyst was successfully performed.
  • Histopathology confirmed the diagnosis of a hydatid cyst.

Conclusions:

  • Isolated cardiac hydatid disease is a rare condition, representing 0.5-2% of all hydatid disease cases.
  • Clinical presentation varies widely, from asymptomatic cases to sudden death, with palpitations being a potential symptom.
  • Surgical excision is the definitive treatment for cardiac hydatid disease to prevent severe complications.

Keywords:
Hydatid cystcardiac echinococcosisechocardiography

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