doiSerbia

Cardiac echinococcosis

Ivanović-Krstić Branislava A. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Kalimanovska-Oštrić Dimitra V. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Vujisić-Tešić Bosiljka D. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Jovanović Dragana (Institut za plućne bolesti i tuberkulozu Kliničkog centra Srbije, Beograd)
Petrović Predrag (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Cvetković-Matić Danica (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)

Cardiac hydatid disease is rare. We report on an uncommon hydatid cyst localized in the right ventricular wall, right atrial wall tricuspid valve left atrium and pericard. A 33-year-old woman was treated for cough, fever and chest pain. Cardiac echocardiograpic examination revealed a round tumor (5.8 x 4 cm) in the right ventricular free wall and two smaller cysts behind that tumor. There were cysts in right atrial wall and tricuspidal valve as well. Serologic tests for hydatidosis were positive. Computed tomography finding was consistent with diagnosis of hydatid cyst in lungs and right hylar part. Surgical treatment was rejected due to great risk of cardiac perforation. Medical treatment with albendazole was unsuccessful and the patient died due to systemic hydatid involvement of the lungs, liver and central nervous system.

Keywords: hydatid disease, heart