Multidetector CT and MR imaging cardiac hydatidosis: case report and review of the literature.
Cardiac hydatid cysts are uncommon but potentially fatal. We present a case of isolated unilocular and multivesicular hydatid cysts in the heart, and provide a literature review of this rare condition. A 35-year-old man presented to our cardiology unit with acute chest pain. Computed tomography showed two cystic lesions in the heart. One unilocular cyst was located close to the left atrium and compressed the pulmonary artery. The other multivesicular cyst adhered to the left ventricle and displaced the left coronary arteries. T2-weighted magnetic resonance images revealed lesions in the pericardial cavity with bright signal intensity. Dot immunogold filtration assay was performed, and positive results for anti-EgCF antibody, anti-EgP antibody and anti-EgB antibody for cystic hydatidosis were found. Cardiac hydatidosis was diagnosed because of typical imaging findings and positive serology. The patient underwent surgical excision of the cysts. Postoperatively, symptoms of the patient resolved.
Imaging Center, First Affiliated Hospital of Xinjiang Medical University, No 1 Liyushan Road, Urumqi 830054, China.
Yan
Y
Xing
Dilimulati
D
Bawudong
Wen-Bin
WB
Zhang
Wen-Ya
WY
Liu
Cun-Xue
CX
Pan
Hao
H
Wen
Chen-Wei
CW
Li
D000328:Adult; D006348:Cardiac Surgical Procedures; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods*; D009206:Myocardium / Q000473:pathology*; D016896:Treatment Outcome