Cardiac Hydatid Cyst in a 34-Year-Old Ethiopian Woman With Heart Failure

Kedir Negesso Tukeni1, Elias Ababulgu Abadiko1, Tamirat Godebo Woyimo1

  • 1Department of Internal Medicine, Division of Cardiology, Jimma University, Jimma, Ethiopia.

JACC. Case Reports
|March 7, 2025
PubMed

Insights

Cardiac hydatid cysts are rare but serious. This case highlights the importance of considering cystic echinococcosis in patients with heart failure and intracardiac masses.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Parasitology

Background:

  • Hydatid cysts, caused by Echinococcus granulosus, typically affect the liver and lungs.
  • Cardiac hydatid cysts are exceptionally rare, with a predilection for the left ventricle and interventricular septum.
  • Their critical location and potential for severe complications present significant diagnostic and therapeutic challenges.

Observation:

  • A 34-year-old woman presented with a 3-week history of worsening dyspnea, shortness of breath, orthopnea, and cough.
  • Imaging examinations revealed an intracardiac mass, prompting further investigation.
  • The mass was identified as a left ventricular hydatid cyst.

Findings:

  • The patient's symptoms were attributed to the presence of the left ventricular hydatid cyst.
  • This case underscores the diagnostic importance of considering cystic echinococcosis in patients with unexplained heart failure and intracardiac masses.
  • Early and accurate diagnosis is crucial for appropriate management.

Implications:

  • Prompt diagnosis and surgical intervention are essential for managing cardiac hydatid cysts.
  • This case emphasizes the need for increased awareness among clinicians regarding this rare but life-threatening condition.
  • Further research into optimal diagnostic and therapeutic strategies for cardiac echinococcosis is warranted.

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