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Atypical thoracic pain as form of presentation of a pericardial hydatid cyst Case: We present the case of a 44 year-old male with history of several years of evolution of atypical thoracic pain that consults for this reason. In thorax Rx a rounded image of density calcium is observed that for ecography and thorax CT is proven that it is a hydatic cyst calcified in pericardium. The patient had several dogs and as much in her wife as in two of her children, years before they had been diagnosed of hepatic hydatidosis. In our patient cannot objective affectation at any other level. The patient only received symptomatic treatment not specifying surgical treatment. Conclusions: 1.- The hydatidosis with exclusively pericardial affectation is exceptional. 2.- It is generally diagnosed when the cyst has given complications like break of the cyst. 3.- The diagnoses it is based on technical non aggressive like the echocardiogram and the CT or the MRI for an diagnose precise of face to surgery. 4.- The differential diagnoses of the alive cysts it should be carried out mainly with heart tumors in endemic zones. 5.- The treatment of the dead cysts should be conservative while that of the alive cysts should be aggressive by means of surgery, Mebendazole and later revisions during years.

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2012-08-27   |   228 visitas   |   Evalua este artículo 0 valoraciones

Vol. 30 Núm.2. Abril-Junio 2001 Pags. 391-400 Rev Fed Arg Cardiol 2001; 30(2)