Asymptomatic Presentation of Large Cardiac Hydatid - JAPI Fe
Abstract
Hydatid cyst is a tissue parasitic infection caused by tapeworm Echinococcus granulosus. Common location for hydatid cysts are the liver (65%) and the lungs (25%). Cardiac hydatid cyst is seen rarely, occurring in about 0.5-2% of all cases of hydatid disease. We present this case of 45 years female who presented with short duration of dry cough and atypical chest pain. Chest X ray showed cardiomegaly with round bulge at the right heart border and curvilinear calcification in left upper abdomen in the region of spleen.
Transthoracic echocardiography (TTE) depicted cystic lesion in Right Ventricle free wall causing compression of right atrial and ventricular cavity. Cardiac CT confirmed this cyst as hydatid cyst. Patient underwent successful excision of right ventricular hydatid cyst.

Case
45-year-old woman from rural area presented with complaints of dry cough and atypical chest pain of 4 days duration. She had no history of common cold, fever, sore throat, breathlessness. Her past medical history was unremarkable. Her general, cardiovascular and respiratory examination was normal.
ECG was unremarkable except sinus tachycardia and right axis deviation. Laboratory tests like complete blood count, liver and kidney function tests were normal. Chest x-ray PA view revealed cardiomegaly (Cardiac Thoracic ratio of 65%) with round bulging of right heart border and curvilinear calcification in left upper abdomen in the region of spleen (Figure 1). Ultrasound Abdomen showed cystic lesion in spleen of 6 x 9 cm.....

http://www.japi.org/february_2017/23_cr_asymptomatic_presentation_of_large.html
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