Department of Cardiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Echocardiography. 2020 Apr;37(4):646-648. doi: 10.1111/echo.14631. Epub 2020 Mar 16.
Cardiac manifestations of hydatid cysts are rare and occur in 0.5% to 2% of all cases of human hydatidosis. Behçet's disease is a vasculitis which is often associated with venous thrombosis. An intra-cardiac mass in a patient with Behçet's disease should raise the suspicion of thrombosis. However, we report a 32-year-old gentleman with Behçet's disease and history of multiple episodes of venous thrombosis who was first diagnosed with having an intra-cardiac thrombus on echocardiogram. Five months later, his echocardiogram revealed a hydatid cyst in the right ventricular apex which was also confirmed by cardiac magnetic resonance.
心脏包虫囊肿的表现较为罕见,仅占人类包虫病的 0.5%至 2%。贝切特病是一种血管炎,常与静脉血栓形成有关。患有贝切特病的患者心脏内肿块应引起血栓形成的怀疑。然而,我们报告了一位 32 岁的男性,患有贝切特病和多次静脉血栓形成病史,他在超声心动图上首次被诊断为心脏内血栓。五个月后,他的超声心动图显示右心室心尖有一个包虫囊肿,心脏磁共振也证实了这一点。