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Case Reports
. 2005;32(4):570-2.

Pericardial hydatid cyst mimicking acute coronary syndrome

Feridun Kosar  1 , Yuksel Aksoy, Ibrahim Sahin, Nevzat Erdil
Affiliations
Case Reports

Pericardial hydatid cyst mimicking acute coronary syndrome

Feridun Kosar et al. Tex Heart Inst J. 2005.

Abstract

Cardiac hydatid cysts are found mostly within myocardium. Only a few cases of pericardial location have been reported. Patients with hydatid cysts are usually asymptomatic. A 46-year-old man with clinical and electrocardiographic features mimicking acute myocardial ischemia was hospitalized for further evaluation. Detailed imaging and laboratory investigation revealed a pericardial hydatid cyst. The patient underwent operation for curative excision. After surgery, the patient's symptoms resolved and his clinical status improved. We think that pericardial hydatid cyst should be considered in the differential diagnosis of patients with angina-like pain-especially in geographic areas where hydatid cysts are endemic.

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Figures

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Fig. 1 Electrocardiographic recording during episode of chest angina shows T-wave inversion in leads I, aVL, V5, and V6.
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Fig. 2 Computed tomographic appearance of pericardial hydatid cyst (arrows).
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Fig. 3 Angiogram shows the right coronary artery in the left anterior oblique view.
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Fig. 4 Angiogram shows the left coronary artery in the right anterior oblique view.
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Fig. 5 Left ventriculogram in the right anterior oblique angiographic view.
See this image and copyright information in PMC

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