A Pericardial Hydatid Cyst Masquerading as Acute Inferolateral Myocardial Infarction: A Case Report

A case of pericardial hydatid cyst adjacent to the inferoposterial wall of the left ventricle is reported. Significant ST segment elevations in leads D2, D3, aVF, V5, and V6 on surface electrocardiography and sudden onset of severe chest pain mimicked acute inferolateral myocardial infarction. Howev...

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Bibliographic Details
Published in:Angiology 2005-09, Vol.56 (5), p.637-640
Main Authors: Ileri, Mehmet, Hisar, Ismet, Atak, Ramazan, Senen, Kubilay, Aras, Dursun, Buyukasik, Naciye
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Coronary heart disease
Diagnosis, Differential
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Echinococcosis - complications
Echinococcosis - diagnosis
Echinococcosis - surgery
Electrocardiography
Heart
Humans
Male
Medical sciences
Middle Aged
Myocardial Infarction - diagnosis
Neurology
Pericardium - parasitology
Pericardium - surgery
Vascular diseases and vascular malformations of the nervous system
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Summary:A case of pericardial hydatid cyst adjacent to the inferoposterial wall of the left ventricle is reported. Significant ST segment elevations in leads D2, D3, aVF, V5, and V6 on surface electrocardiography and sudden onset of severe chest pain mimicked acute inferolateral myocardial infarction. However, cardiac catheterization and coronary angiography showed normal coronary arteries and normal left ventricular cavity. The ST segment elevation in the inferolateral leads disappeared a few days after surgical resection of the cyst. Cardiac hydatid cyst should be considered in the differential diagnosis of patients with angina-like chest pain in endemic areas.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331970505600518