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European Journal of Echocardiography 2004 5(3):223-227; doi:10.1016/j.euje.2003.08.001
© 2004 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic, transesophageal, and contrast echocardiography

Amgad N Makaryusa, Craig Hametza, Jennifer Mieresa, Smadar Korta, Justine Carnegliaa and Judy Mangionb,*

aDivision of Cardiology, North Shore University Hospital, NYU School of Medicine, Manhasset, NY, USA
bEchocardiography Lab, Hartford Hospital, University of Connecticut, 80 Seymour Street, Hartford, CT 06102, USA

Received 27 May 2003; received in revised form 13 August 2003; accepted after revision 14 August 2003.

* Corresponding author. Hartford Hospital, Echocardiography Lab, 80 Seymour Street, Hartford, CT 06102, USA. Tel.: +1-860-545-2976; fax: +1-860-545-5631. Mangion{at}aol.com


  Abstract

The early recognition and treatment of hydatid disease of the heart is important as it can result in potentially lethal complications. We present the clinical and echocardiographic features of a 71 year old Afghanistani man who presented with left-sided chest pain. Transthoracic (TTE), transesophageal (TEE), and contrast echo demonstrated a calcified cystic structure within the distal anterior septum consistent with an echinococcal cyst, despite negative serologies. Treatment strategies for this patient are discussed.

Keywords: Cardiac echinococcosis; Hydatid cyst; Serologies; Echocardiography


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