Radiology Case Reports (Jul 2024)

Intramyocardial hydatid cyst revealed with ischemic stroke due to left ventricular systolic dysfunction: A case report

  • Kaoutar Maasaoui, MD,
  • Amina Hamdaoui, MD,
  • Amal Akammar, MD,
  • Nizar El Bouardi, MD,
  • Meryem Haloua, MD,
  • Moulay Youssef Alaoui Lamrani, MD,
  • Meryem Boubbou, MD,
  • Mustapha Maaroufi, MD,
  • Badreeddine Alami, MD

Journal volume & issue
Vol. 19, no. 7
pp. 2841 – 2844

Abstract

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Cardiac echinococcosis, although rare, presents a range of clinical manifestations depending on the cyst's location within the heart. These manifestations can range from asymptomatic conditions to serious complications such as arrhythmias, valvular dysfunction, cardiac tamponade, heart failure, shock, or even death.This case report describes the unusual presentation of a young man with an intramyocardial hydatid cyst, which was incidentally discovered following an ischemic stroke. Diagnostic evaluation included echocardiography, as well as chest and abdominal angiography via computed tomography (angio-CT). Surgical intervention was undertaken, involving cystectomy and the removal of the cyst contents. The patient's postoperative recovery was uneventful and favorable.This report emphasizes important diagnostic and management considerations specific to cardiac hydatid cysts and includes a review of the relevant literature to provide context and depth to our findings.

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