ABSTRACT
We report the case of a 62-year-old female patient operated for a hepatic hydatid cyst that years later was found to have a hydatid cyst in the inferior vena cava and right atrium that was the source of disseminated pulmonary spread of the disease and occlusion of the inferior vena cava blood flow. Cardiac hydatid disease is very uncommon and is frequently associated with a poor prognosis. The literature for hydatid disease of the heart is reviewed and the clinical and echocardiographic relevant findings of this patient are discussed.
Subject(s)
Cardiomyopathies/diagnosis , Echinococcosis/diagnosis , Pulmonary Embolism/diagnosis , Vena Cava, Inferior , Venous Thrombosis/diagnosis , Cardiomyopathies/etiology , Chronic Disease , Echinococcosis/etiology , Echinococcosis, Hepatic/complications , Fatal Outcome , Female , Heart Atria/diagnostic imaging , Humans , Middle Aged , Pulmonary Embolism/etiology , Radiography , Ultrasonography , Vena Cava, Inferior/diagnostic imaging , Venous Thrombosis/etiologyABSTRACT
Papillary fibroelastoma is an uncommon cardiac tumor rarely diagnosed during life. Although most fibroelastomas are incidental findings at autopsy, a few cases have been associated with cardiac symptoms that include angina, arterial embolism and sudden death. We report the case of two patients, a 35-year-old male with an acute myocardial infarction and ventricular fibrillation and a 53-year-old asymptomatic female, with cardiac masses first detected by transthoracic echocardiography. A more detailed morphological study was provided by transesophageal echocardiography. After cardiac surgery, the anatomical study demonstrated that both tumors were papillary fibroelastomas. The literature concerning papillary fibroelastoma is reviewed.
