[Electrocardiographic picture of a previous myocardial infarction in a patient with liver echinococcosis cyst].
We report a case of a 32-year-old man who was hospitalized at the Department of Surgery for hepatic cystic echinococcosis. Standard preoperative electrocardiogram revealed the presence of Q waves in the inferior leads, suggesting the presence of a previous myocardial infarction. Two-dimensional echocardiography showed a hepatic cystic echinococcosis raising the diaphragmatic wall of the left ventricle. The electrocardiogram performed the day after surgery showed disappearance of Q waves in the inferior leads. Thus, it is suggested that the preoperative electrocardiographic picture of a previous myocardial infarction was determined by the mass of the hepatic cystic echinococcosis.
Azzarelli
Salvatore
S
Dipartimento Cardiovascolare, Azienda Ospedaliera "Cannizzaro", Università degli Studi, Catania. sa.azzarelli@tiscali.it
Galassi
Alfredo R
AR
Centamore
Guido
G
Carini
Vittorio
V
D000328:Adult; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000175:diagnosis*; D004562:Electrocardiography; D006801:Humans; D033162:Incidental Findings; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*