Key result
Permanent pacing and albendazole successfully manage recurrent pericardial hydatid cyst causing symptomatic bradycardia.
Why the study?
Cardiac involvement of Echinococcus granulosus is rare but causes serious clinical complications, with pericardial infestation being extremely rare.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Adds to sparse literature on pericardial hydatid disease; leaves open optimal strategies for recurrent cases with conduction abnormalities.
Echinococcus granulosus is a common infestation in sheep and cattle raising countries. Although it is typically encountered in liver and lung, rare cardiac involvement of this infestation has very important clinical complications such as heart failure, valve regurgitation, pericardial effusion-tamponade and arrhythmia. In addition, pericardial infestation is an extremely rare condition of Echinococcus granulosus. Here, we report a case of recurrent pericardial hydatid cyst presenting exertional dyspnea, palpitation and presyncope attacks in a 72-year-old man. The diagnosis of recurrent pericardial hydatid cyst was made by transthoracic echocardiography, computed tomography and surgical history.
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Akpınar et al. (2012) conducted a case report in Recurrent pericardial hydatid cyst (n=1). Albendazole was evaluated. A 72-year-old man was diagnosed with a recurrent pericardial hydatid cyst and symptomatic bradycardia, which was managed with a permanent pacemaker and albendazole medical therapy.
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