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Am. J. Trop. Med. Hyg., 77(5), 2007, pp. 875-877
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

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Right arrow Echinococcosis

CASE REPORT


Cardiac Manifestation of Cystic Echinococcosis: Comparison of Dual-Source Cardio–Computed Tomography and Cardiac Magnetic Resonance Imaging and Their Impact on Disease Management

Tobias Heye*, Artur Lichtenberg, Thomas Junghanss, AND Waldemar Hosch
Department of Diagnostic Radiology, Department of Thoracic and Cardiovascular Surgery, and Section Clinical Tropical Medicine, University Hospital, Heidelberg, Germany

 

ABSTRACT

We report a rare case of cardiac manifestation of cystic echinococcosis in a young Turkish patient. The patient had a history of cardiac surgery caused by a spontaneously ruptured cardiac mass that was intraoperatively diagnosed as a manifestation of cystic echinococcosis. Spread of the disease occurred in the lower mediastinum and pericardium. The patient was treated with antihelmintic medication in the postsurgical course. Follow-up was performed by cardiac magnetic resonance imaging (MRI) and dual-source cardiac–computed tomography (CT). We present the advantages and limitations of both imaging modalities in diagnosing cardiac manifestations of cystic echinococcosis and discuss their impact on therapy planning. We conclude that cardiac MRI and dual-source Cardio-CT contribute in a complimentary way to diagnosing and assessing cyst activity and extend of disease. Imaging plays a major role in the management of this disease because it can detect a response to antihelmintic medication or identify possible treatment options.

Received June 27, 2007. Accepted for publication August 5, 2007.

* Address correspondence to Tobias Heye, Department of Diagnostic Radiology, University Hospital, INF 110, 69120 Heidelberg, Germany. E-mail: tobias.heye{at}med.uni-heidelberg.de

Authors’ addresses: Tobias Heye and Waldemar Hosch, Department of Diagnostic Radiology, University Hospital, INF 110, 69120 Heidelberg, Germany, Telephone: 6221-563-9391 and 6221-563-8766, Fax: 6221-565-730, E-mails: tobias.heye{at}med.uni-heidelberg.de and waldemar.hosch{at}med.uni-heidelberg.de. Artur Lichtenberg, Department of Thoracic and Cardiovascular Surgery, University Hospital, INF 110, 69120 Heidelberg, Germany, Telephone: 6221-566-272, Fax: 6221-565-585, E-mail: artur.lichtenberg{at}med.uni-heidelberg.de. Thomas Junghanss, Section Clinical Tropical Medicine, University Hospital, INF 324, 69120 Heidelberg, Germany, Telephone: 6221-562-905, Fax: 6221-565-204, E-mail: thomas.junghanss{at}urz.uni-heidelberg.de.






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