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Exertional Dyspnea in a Female Patient Aged 55 Years Without Significant Medical History

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A 55-year-old, nondiabetic, nonhypertensive female patient presented with exertional dyspnea and cough for 3 months. She was hemodynamically stable, and her physical examination was remarkable only for pallor. Transthoracic echocardiogram revealed an intramyocardial, multicystic mass, typical of hydatid cyst, compressing the left ventricle (Figure). Despite surgical treatment and management, the patient had refractory ventricular tachycardia and ultimately died of ventricular fibrillation.

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Article Information

Published Online: January 11, 2023. doi:10.1001/jamacardio.2022.4246

Corresponding Author: Sk Minhajuddin Siraj, DM, Department of Cardiology, Burdwan Medical College and Hospital, Purba Bardhaman, Burdwan, West Bengal 713104, India (dr.minhajuddinsiraj@gmail.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient’s husband for granting permission to publish this information.

References
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Separovic Hanzevacki  J , Gasparovic  H , Reskovic Luksic  V , Ostojic  Z , Biocina  B .  Staged management of a giant cardiac hydatid cyst: a case report.   BMC Infect Dis. 2018;18(1):694. doi:10.1186/s12879-018-3599-2PubMedGoogle ScholarCrossref
2.
Bajdechi  M , Manolache  D , Tudor  A , Orghidan  M , Gurghean  A .  Cardiac hydatid cysts in a young man: a case report and a literature review.   Exp Ther Med. 2022;24(3):550. doi:10.3892/etm.2022.11487PubMedGoogle ScholarCrossref
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Naeem  SN , Burhan  H , Khan  G .  Hydatid cyst of the cardiac interventricular septum.   Asian Cardiovasc Thorac Ann. 2015;23(3):320-322. doi:10.1177/0218492313506125PubMedGoogle ScholarCrossref
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Oliver  JM , Sotillo  JF , Domínguez  FJ ,  et al.  Two-dimensional echocardiographic features of echinococcosis of the heart and great blood vessels—clinical and surgical implications.   Circulation. 1988;78(2):327-337. doi:10.1161/01.CIR.78.2.327PubMedGoogle ScholarCrossref
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