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European Heart Journal 1988 9(7):819-824;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Mycardial hydatid cyst ruptured into the pericardium: cross-sectional echocardiographic study and surgical treatment

M. DE MARTINI*,, F. NADOR*, A. BINDA*, A. ARPESANI{dagger}, A. ODERO{dagger} and A. LOTTO*

*Divisione Cardiologica, Padiglione Sacco, Ospedale Maggiore Via F. Sforza 35
{dagger}Istituto di Clinica Chirugica 11, Padiglione Zonda, Ospedale Maggiore Via F. Sforza 35, I-20122, Milano, Italy

Received 15 September 1987; revised 6 January 1988; .

Address for correspondence: Mario De Martini, MD, Via G Bom 25, 1 20144 Milano, Italy.

Abstract

We describe a patient with a large intramyocardial hydatid cyst lying in the postero-lateral segment of the left ventricle near the atrioventricular groove level which ruptured into the pericardial sac, resulting in cardiac tamponade. Cross-sectional echocardiographic examination from a modified four-chamber apical view showed the multiloculated cyst and the breach connecting it to the pericardial sac, allowing for the definitive dagnosis and indication for emergency cardiac surgery. The risks of pericardiocentesis and invasive diagnostic procedures could thus be avoided.

Key Words: Cardiac tamponade • cross-sectional echocardiography • hydatid cyst.


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