Ameen Abdullah, Hilal Kiran, Shaikh Asra, Khan Faheemullah, Fatimi Saulat
Department of Radiology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan.
Department of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Egypt Heart J. 2021 Dec 7;73(1):105. doi: 10.1186/s43044-021-00231-z.
Hydatid disease caused by Echinococcus granulosus commonly involves the liver followed by lungs. Cardiac involvement is a rare occurrence and presents a challenging scenario.
Our case describes a middle-aged gentleman who presented to the emergency room with an episode of sudden loss of consciousness resulting from ventricular tachycardia. After successful cardiac resuscitation, the patient underwent imaging that showed a lesion compatible with hydatid cyst. Surgical treatment with pharmacologic coverage was provided which resulted in good clinical outcome.
The case highlights rare occurrence of isolated cardiac hydatid disease presenting as cardiac arrhythmia in contrast to its common routine outpatient presentation involving the liver and lungs. Good knowledge of the unusual presentations and its epidemiology is essential to the proper management of such patients.
由细粒棘球绦虫引起的包虫病通常累及肝脏，其次是肺。心脏受累较为罕见，且处理起来颇具挑战性。
我们的病例描述了一位中年男性，因室性心动过速导致突然意识丧失而被送往急诊室。心脏复苏成功后，患者接受影像学检查，显示有一个与包虫囊肿相符的病变。给予药物覆盖下的手术治疗，取得了良好的临床效果。
该病例突出了孤立性心脏包虫病以心律失常形式呈现的罕见情况，与常见的累及肝脏和肺的门诊病例不同。充分了解这种不寻常的表现及其流行病学对于妥善处理此类患者至关重要。
