title: Ruptured intracardiac hydatid cyst presenting as acute coronary syndrome.
abstract: Hydatid disease is a parasitic infection caused by the larvae of Echinococcus granulosus, which is still endemic in many developing countries. Cardiac involvement is rare but potentially very serious on account of various clinical presentations and nonspecific symptoms that occasionally mimic acute coronary syndrome. We describe a case of ruptured left ventricular hydatid cyst presenting as acute inferolateral myocardial infarction with electrocardiographic changes. Because coronary angiography revealed normal coronary arteries, the final diagnosis was made on the basis of echocardiography and magnetic resonance imaging. On-pump surgical resection followed by albendazole therapy yielded an excellent outcome.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India realpranav@yahoo.com.
authors.forename: Pranav
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India.
authors.forename: Ketav
authors.initials: K
authors.lastname: Lakhia
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India.
authors.forename: Amber
authors.initials: A
authors.lastname: Malhotra
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Asarwa, Ahmedabad, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Garg
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015766:Albendazole / Q000627:therapeutic use; D000923:Anticestodal Agents / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D004443:Echinococcosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology; D004562:Electrocardiography; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012422:Rupture, Spontaneous; D016896:Treatment Outcome
chemical_list: D000923:Anticestodal Agents; D015766:Albendazole
keywords: Acute coronary syndrome; albendazole; cardiac surgical procedures; echinococcosis