title: Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic, transesophageal, and contrast echocardiography.
abstract: The early recognition and treatment of hydatid disease of the heart is important as it can result in potentially lethal complications. We present the clinical and echocardiographic features of a 71 year old Afghanistani man who presented with left-sided chest pain. Transthoracic (TTE), transesophageal (TEE), and contrast echo demonstrated a calcified cystic structure within the distal anterior septum consistent with an echinococcal cyst, despite negative serologies. Treatment strategies for this patient are discussed.
authors.affiliation: Division of Cardiology, North Shore University Hospital, NYU School of Medicine, Manhasset, NY, USA.
authors.forename: Amgad N
authors.initials: AN
authors.lastname: Makaryus
authors.forename: Craig
authors.initials: C
authors.lastname: Hametz
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mieres
authors.forename: Smadar
authors.initials: S
authors.lastname: Kort
authors.forename: Justine
authors.initials: J
authors.lastname: Carneglia
authors.forename: Judy
authors.initials: J
authors.lastname: Mangion
mesh_terms: D000368:Aged; D009202:Cardiomyopathies / Q000000981:diagnostic imaging* / Q000469:parasitology; D002637:Chest Pain; D004443:Echinococcosis / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006346:Heart Septum / Q000000981:diagnostic imaging* / Q000469:parasitology; D006801:Humans; D008297:Male