Abstract
Background
Cardiac hydatid over the interventricular septum is extremely rare. Echinococcus infests humans as an accidental host. Echocardiography usually clinches the diagnosis of cardiac hydatid. However, multimodality imaging including cardiac magnetic resonance (CMR) imaging, computed tomography (CT), and positron emission tomography (PET) helps in supporting the diagnosis and surgical planning.
Case presentation
We present a 29-year-old male who presented with dyspnea and was found to have cardiac hydatid on the interventricular septum on echocardiography. CT and CMR clinched the diagnosis. CT pulmonary angiography showed extensive pulmonary thromboembolization and cavitary consolidation in lungs. PET showed no active uptake in cardiac hydatid. Post-surgical enucleation of the cyst his hypotension worsened and succumbed.
Conclusion
Cardiac hydatid has poor prognosis. Multimodality imaging helps in confirming the diagnosis and surgical planning.
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Details
1 PGIMER, Department of Cardiology, Advanced Cardiac Centre, Chandigarh, India (GRID:grid.415131.3) (ISNI:0000 0004 1767 2903)
2 PGIMER, Department of CVTS, Advanced Cardiac Centre, Chandigarh, India (GRID:grid.415131.3) (ISNI:0000 0004 1767 2903)
3 PGIMER, Department of Radiodiagnosis, Chandigarh, India (GRID:grid.415131.3) (ISNI:0000 0004 1767 2903)
4 PGIMER, Department of Cardiac Anesthesia, Chandigarh, India (GRID:grid.415131.3) (ISNI:0000 0004 1767 2903)