Echocardiographic appearance of a hydatid cyst of the papillary muscle and chordae tendineae

Hydatid cyst of papillary muscle concomitant with brain involvement

BACKGROUND

Cardiac hydatidosis is a rare disease and the subepicardial region of the left ventricular is commonly affected. However, papillary muscle concomitant with brain involvement has not been previously reported.

CASE

We report a 44 years old man who complained of headache along with no cardiac symptoms. The patient was diagnosed with cerebral hydatid cyst. Through preoperative cardiac consultant, transthoracic echocardiography revealed cardiac hydatid cyst confined to the anterolateral papillary muscle. Medical treatment was started promptly and successful surgical excision of all cysts was performed. The patient had an uneventful recovery and follow up at 3 months.

CONCLUSION

Early diagnosis of cardiac HC by echocardiography is recommended in all patients with hydatid disease, regardless of HC location.

Syncope as the primary manifestation of hydatid cyst. Report of two cases with different etiologies

Hydatid disease is a parasitic infestation that is caused by the larvae of the tapeworm Echinococcus granulosus. Clinical manifestations are extremely variable and related to the location and the size of the cysts. Syncope as the first clinical presentation of hydatid cyst is a very rare condition. Herein, we report two cases of patients with cardiac and pleural hydatid cysts who had syncope as the initial symptom.