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BMJ Case Rep. 2010; 2010: bcr0220102752.
Published online Jul 15, 2010. doi:  10.1136/bcr.02.2010.2752
PMCID: PMC3034206
Unusual presentation of more common disease/injury
Cardiac hydatidosis presenting as an acute coronary syndrome
Guruprasad Sogunuru,1 Murty DS,2 Viswanatha Reddy Chinta,3 Kishan Vuddanda,4 and Nagabhishek Moka5
1Department of Cardiology, DBR Hospitals, Tirupathi, India
2Department of Microbiology & Immunology, SV medical college, Tirupathi, India
3Department of Internal Medicine, Seton Hall University, Trenton, NJ
4Department of Internal Medicine, S.V.R.R.G.G.H, Tirupathi, India
5Department of Internal Medicine, S.V.R.R.G.G.H, Tirupathi, India
Correspondence to Viswanatha Reddy Chinta, drvisu3/at/gmail.com
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.
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