Dung Le Thanh, Van Sy Than, Van Nguyen Thanh
Department of Radiology, Viet Duc University Hospital, 40 Trang Thi St, Hang Bong Ward, Hoan Kiem District, Hanoi 100000, Vietnam.
Deparment of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi 100000, Vietnam.
Radiol Case Rep. 2023 Apr 5;18(6):2103-2106. doi: 10.1016/j.radcr.2023.03.001. eCollection 2023 Jun.
Cardiac cysticercosis is rare in clinical practice and is usually accidentally identified during cardiac surgery or autopsies. Although mostly asymptomatic, cardiac cysticercosis could present with severe clinical conditions such as myocarditis, acute myocardial infarction, and arrhythmia. We present a 51-year-old female patient who accidentally discovered a solitary mass in the myocardium. The cardiac magnetic resonance imaging revealed a nonenhanced cyst in the interventricular septum protruding into the right ventricular chamber. Because of cardiac tamponade presenting during a right ventricular endomyocardial biopsy, an emergency open-heart surgery was performed to suture the ventricular wall perforation and remove the tumor. The histopathologic report demonstrated typical cysticercosis. Cardiac cysticercosis is an uncommon lesion and may present with atypical clinical and laboratory features. Therefore, this diagnosis should be considered single or multiple cardiac cystic lesions.
心脏囊尾蚴病在临床实践中较为罕见，通常在心脏手术或尸检时偶然发现。虽然大多数情况下无症状，但心脏囊尾蚴病可能会出现严重的临床症状，如心肌炎、急性心肌梗死和心律失常。我们报告一名51岁女性患者，她偶然发现心肌中有一个孤立性肿块。心脏磁共振成像显示室间隔有一个无强化的囊肿，突入右心室腔。由于在右心室心内膜活检过程中出现心脏压塞，遂进行了急诊心脏直视手术，以缝合心室壁穿孔并切除肿瘤。组织病理学报告显示为典型的囊尾蚴病。心脏囊尾蚴病是一种罕见病变，可能表现出非典型的临床和实验室特征。因此，对于单个或多个心脏囊性病变应考虑这一诊断。
