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Interventricular septal cardiac hydatid cyst mimicking hypertrophic cardiomyopathy/Hipertrofik kardiyomiyop atiyi taklit eden interventrikuler septal kist hidatik.

A 27-year- old, male patient with nonobstructive hypertrophic cardiomyopathy was admitted to our clinic with exertional dyspnea. Physical examination and routine laboratory tests were normal. Transthoracic echocardiography revealed asymmetric septal hypertrophy (29 mm) without gradient in the left ventricular outflow tract (Fig.1 A). A cystic structure encircled by a hyperechogenic calcified membrane compatible with cardiac hydatid cyst was demonstrated in apical four -chamber view (Fig. 1B). A cystic mass localized in the interventricular septum was demonstrated in cardiac magnetic resonance imaging (Fig. 2, Video 1. See corresponding video movie images at www.anakarder.com). Patient was operated with the diagnosis of cardiac mass of unknown origin. Histopathological examination of surgery specimen revealed diagnosis of hydatid cyst. Hydatid cyst rarely involves heart and particularly interventricular septum. The diagnosis of hydatid cyst of the interventricular septum is difficult because of clinical and radiographic findings may be lacking or nonspecific.

Video 1. A cystic mass localized in the interventricular septum was demonstrated on cardiac magnetic resonance imaging

Turhan Turan, Abdulkadir Cakmak [1], Mustafa Capraz [2], Ahmet Cagri Aykan [3]

Clinic of Cardiology, Akcaabat State Hospital, Trabzon-Turkey Clinic of [1] Cardiology and [2] Internal Medicine, Amasya Sabuncuoglu Serefettin State Hospital, Amasya-Turkey [3] Clinic of Cardiology, Ahi Evren Thoracic and Cardiovascular Center, Trabzon-Turkey

Address for Correspondence/Yazisma Adresi: Dr. Turhan Turan, Akcaabat Hackali Baba Devlet Hastanesi, Kardiyoloji Klinigi Trabzon-Turkiye Phone: +90 506 505 26 00 E-mail: drtt61@gmail.com

Available Online Date/Cevrimici Yayin Tarihi: 21.02.2013

doi: 10.5152/akd.2013.096

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Title Annotation:E-page Original Images/E-sayfa Ozgun Goruntuler
Author:Turan, Turhan; Cakmak, Abdulkadir; Capraz, Mustafa; Aykan, Ahmet Cagri
Publication:The Anatolian Journal of Cardiology (Anadolu Kardiyoloji Dergisi)
Date:May 1, 2013
Words:250
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