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British Journal of Radiology (2007) 80, e278-e282
© 2007 British Institute of Radiology
doi: 10.1259/bjr/78279821

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Case report

Hydatid cyst of the cardiac interventricular septum: report of two cases

S K Muthu, DMRD 1 A Thiagarajan, DMRD 2 S Govindarajan, DMRD, DNB 2 C M A Coutinho 3 W J Gunawardena 3 and T S Swaminathan, MD, DMRD, FICR 2

1 Hammersmith Hospital NHS Trust, London, UK, 2 Barnard Institute of Radiology, Madras Medical College, 3 Royal Preston Hospital, Preston, UK

Correspondence: Dr Senthil Kumar Muthu, Hammersmith Hospital NHS trust, 10, Ducane road, East Acton, London W12 0HS, UK. E-mail: msekumar{at}yahoo.com

Cardiac hydatid cysts are rare and represent less than 2% of all hydatid cases. They can occur as part of a widespread systemic infection or as an isolated event. Cardiac hydatid cysts rarely involve the interventricular septum. Here, we present two cases of cardiac hydatid disease in which one patient had the lesion in the interventricular septum and the other in both the interventricular septum and the apex of the heart. A brief overview of the disease and the role of echocardiography, dynamic enhanced multidetector computed tomography (MDCT) and MRI imaging in establishing the diagnosis are discussed.







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