title: Presentation of pericardial hydatid cyst as acute cardiac tamponade.
abstract: We report a case of a 47-year-old man with isolated pericardial hydatid cyst (without myocardial involvement) that presented as acute pericardial tamponade. After initial investigation and transthoracic echocardiography, emergent pericardial drainage was performed for downgrading the urgency of a definitive treatment for a hydatid cyst. A computed tomography examination after the pericardial drainage showed a pericardial cyst without heart muscle involvement, making the treatment possible through anterior thoracotomy and without performing cardiopulmonary bypass. Complete surgical removal of the cyst was performed. The postoperative course was uneventful. The patient received postoperative albendazole treatment. He remained asymptomatic and no recurrence was observed during a 1-year follow-up period.
authors.affiliation: Cardiothoracic Surgery Clinic, Clinical Center, Bulevar Zorana Djindjica 48, 18000 Nis, Serbia.
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Bogdanovic
authors.affiliation: Department of General Surgery, Medical School, Bulevar Zorana Djindjica 81, 18000 Nis, Serbia. Electronic address: mida71@open.telekom.rs.
authors.forename: Milan
authors.initials: M
authors.lastname: Radojkovic
authors.affiliation: Cardiology Clinic, Clinical Center, Bulevar Zorana Djindjica 48, 18000 Nis, Serbia.
authors.forename: Ruzica Jankovic
authors.initials: RJ
authors.lastname: Tomasevic
authors.affiliation: Department of General Surgery, Medical School, Bulevar Zorana Djindjica 81, 18000 Nis, Serbia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Pesic
authors.affiliation: Pulmonology Clinic, Clinical Center, Bulevar Zorana Djindjica 48, 18000 Nis, Serbia.
authors.forename: Tatjana Radjenovic
authors.initials: TR
authors.lastname: Petkovic
authors.affiliation: Department of General Surgery, Medical School, Bulevar Zorana Djindjica 81, 18000 Nis, Serbia.
authors.forename: Predrag
authors.initials: P
authors.lastname: Kovacevic
authors.affiliation: Division of Cardiovascular Surgery, University Hospital, Raemistrasse 100, 8091 Zurich, Switzerland.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Rancic
mesh_terms: D000208:Acute Disease; D015766:Albendazole / Q000008:administration & dosage; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D004443:Echinococcosis / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D004452:Echocardiography; D004638:Emergency Treatment; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020519:Pericardiocentesis / Q000379:methods; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D015766:Albendazole
keywords: acute cardiac tamponade; hydatid disease; pericardium