Instituto de Cardiologia, Porto Alegre, RS - Brasil.
Arq Bras Cardiol. 2023 May 26;120(5):e20220597. doi: 10.36660/abc.20220597. eCollection 2023.
Hydatidosis is a zoonosis caused by Echinococcus granulosus, leading to the formation of cysts on involved organs. Cardiac involvement is rare and can cause a wide range of complications secondary to rupture, embolization, or compression. Its diagnosis is challenging, and is generally confirmed through data related to clinical manifestations, environmental exposure, and laboratory and imaging exams. Surgical removal is necessary in most cases, in which an association with antiparasite therapy is recommended. The present article describes a case of a cardiac hydatid cyst associated with a complete atrioventricular block (AVB) in a young adult patient, with the need for a pacemaker implant, an atypical presentation, and scarce reports in the literature.
包虫病是一种由细粒棘球绦虫引起的人畜共患疾病，导致受累器官形成囊肿。心脏受累较为罕见，但可因破裂、栓塞或压迫而引起多种并发症。其诊断具有挑战性，通常通过与临床表现、环境暴露以及实验室和影像学检查相关的数据来确认。大多数情况下需要手术切除，在此过程中建议联合使用驱虫治疗。本文描述了一例青年成人心脏包虫囊肿合并完全性房室传导阻滞（AVB）的病例，需要植入起搏器，为一种不典型表现，文献报道较少。
