title: Cardiac hydatidosis presenting as an acute coronary syndrome.
abstract: A 56-year-old man presented as an acute coronary syndrome. A transthoracic echocardiography (TTE) performed to assess left ventricular (LV) function revealed multiple hydatid cysts in the right ventricular cavity compressing the interventricular septum. CT scan for chest and abdomen revealed similar cysts in right-lung apex and left lobe of liver. A polyvisceral involvement in the setting of multiple cardiac cysts suggested cardiac hydatidosis as the most probable diagnosis. CT coronary angiography was normal. A preoperative oral albendazole therapy was initiated. Later the patient underwent elective surgery, 'Evaculation of RV Hydatid Cysts and Obliteration of Cavity with Bovine Pericardium'. His postoperative recovery was good. Regular exercise, chest physiotherapy, a life-long anticoagulation therapy and antibiotic prophylaxis for invasive procedures were recommended. Patient was scheduled for regular follow-up, to check for any recurrences or late complications.
authors: Department of Cardiology, DBR Hospitals, Tirupathi, India.
authors: Guruprasad
authors: G
authors: Sogunuru
authors: D S
authors: DS
authors: Murty
authors: Viswanatha Reddy
authors: VR
authors: Chinta
authors: Kishan
authors: K
authors: Vuddanda
authors: Nagabhishek
authors: N
authors: Moka
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000469:parasitology*; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000871:Anthelmintics; D015766:Albendazole