[A dead and calcified right ventricular hydatic cyst. The limits of imaging].
BACKGROUND
Cardiac echinococcosis is rare and only represents around 0.5% of all hydatic locations. Right ventricular location is exceptional.


METHODS
We report the case of a 72 year-old man having a chronic obstructive pulmonary disease. During an acute respiratory failure, cardiac ultrasonography showed a right ventricular tumour. After respiratory stabilisation, surgical intervention found the tumour, the histopathological study of which concluded in a dead and calcified hydatic cyst.


CONCLUSIONS
This case report demonstrates the limits of modern imaging and the difficulties in diagnosing a calcified right intra-ventricular hydatidosis. It is important to emphasize the exceptional nature of this form and the scarcity of its localisation. Surgical treatment is crucial in the majority of cases and helps to confirm the diagnosis.


CONCLUSIONS
In endemic areas, the discovery of an intra-cardiac tumour must evoke and eliminate echinococcosis. Calcification of a cardiac location remains exceptional.
Hassine
E
E
Hôpital Abderrahmen Mami, 2080 Ariana, Tunisie.
Kraoua
S
S
Marniche
K
K
Bousnina
S
S
Lefi
A
A
Kachboura
S
S
Chabbou
A
A
D000208:Acute Disease; D000368:Aged; D001706:Biopsy; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D009202:Cardiomyopathies / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D004443:Echinococcosis / Q000150:complications / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery; D004452:Echocardiography / Q000592:standards; D006352:Heart Ventricles; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D013902:Radiography, Thoracic / Q000592:standards; D035583:Rare Diseases / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D012131:Respiratory Insufficiency / Q000209:etiology; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000592:standards