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Original Research

Ann Med Res. 2010; 17(2): 97-99


An Unusual Presentation of Cardiac Hydatid Cyst: Ventricular Tachycardia

 

Necip Ermiş*, Hakan Altay**, Hilal Ermiş***, Fahri Tercan****

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Abstract


 

A 35-year-old man was admitted to our hospital’s emergency department with chest pain, lightheadedness and long lasting palpitation. Twelve lead electrocardiography revealed wide QRS tachycardia suggesting sustained ventricular tachycardia at the rate of 220 beats per minute. Transthorasic echocardiography revealed a cystic mass with a size of 5x6 cm located intramyocardially in the left ventricular lateral wall. T2 weighted images of cardiac magnetic resonance imaging showed the mass of 6x7x5 cm in size, compatible with hydatid cyst in the left ventricular lateral wall. Specific blood tests for hydatid cyst were positive. Combination of antihelminthic chemotherapy to be followed by surgical excision of the cyst was planned but, the patient refused to undergo a cardiac surgery. Hence, the patient was discharged with albendazole and amiadarone treatment.

Key Words: Cardiac Hydatid Cyst, Ventricular Tachycardia, Magnetic Resonance Imaging






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