title: Recurrent apical cardiac hydatid cyst presenting with angina.
abstract: Hydatid disease is a parasitic infection caused by the larvae of tapeworm Echinococcus Granulosus. Hydatid cyst of the heart is an uncommon presentation of human echinococcosis which may lead to life-threatening conditions. We present a rare case of recurrent pericardial cyst in a 42-year-old man presenting with chest pain and ECG findings. We were able to avoid risks of resternotomy with a limited anterolateral thoracotomy. A direct enucleation of the cyst was possible without the need for cardiopulmonary bypass. He was free of complications at 6-month follow-up. Diagnosis should be suspected in every case of anginal symptoms or cyst-like mass in persons coming from areas where echinococcus granulosus is endemic.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. onurgokseljet@gmail.com
authors.forename: O S
authors.initials: OS
authors.lastname: Göksel
authors.forename: S
authors.initials: S
authors.lastname: Tanju
authors.forename: B
authors.initials: B
authors.lastname: Surmen
authors.forename: H
authors.initials: H
authors.lastname: El
authors.forename: E
authors.initials: E
authors.lastname: Tireli
authors.forename: E
authors.initials: E
authors.lastname: Dayioğlu
mesh_terms: D000328:Adult; D000787:Angina Pectoris / Q000469:parasitology*; D004443:Echinococcosis / Q000175:diagnosis* / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis* / Q000469:parasitology* / Q000601:surgery; D006352:Heart Ventricles / Q000469:parasitology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012008:Recurrence