Extensive myocardial calcification mimicking giant honey-bee associated with cardiac hydatid cyst
- PDF / 546,460 Bytes
- 2 Pages / 595.276 x 790.866 pts Page_size
- 82 Downloads / 169 Views
IMAGES IN CV APPLICATIONS
Extensive myocardial calcification mimicking giant honey‑bee associated with cardiac hydatid cyst Satyajit Singh1 · Mukesh Kumar Yadav1 Received: 13 August 2020 / Accepted: 14 August 2020 © Springer Nature B.V. 2020
A 28-year-old male presented to the outpatient clinic with history of breathlessness on walking 500 m and low-grade fever for past 6 months. The systemic and cardiovascular clinical examination was unremarkable. Complete blood count analysis revealed mild leukocytosis (14,000 cells/ μl) with mild eosinophilia (absolute eosinophil count–1260 cells/μl). Serological test was consistent with echinococcosis. His serum creatinine was 1.5 mg/dl. His ECG revealed left anterior hemiblock. Echocardiography revealed a large calcified cystic mass in lateral wall of left ventricular myocardium (Fig 1a). Cine-fluoroscopy revealed extensive calcification of LV myocardium mimicking ‘honey-bee eyes’
(Fig 1b, c). Non-contrast CT-thorax showed calcified cyst with extensive myocardial calcification (Fig 1d). The patient was advised surgical excision of cyst. However, he opted for medical management with albendazole therapy. Extensive myocardial calcifications are rare but have been described in medical literature. Myocardial calcifications can be dystrophic or metastatic [1]. Metastatic calcification is associated with renal failure, hyperparathyroidism, toxic and other septic factors. Dystrophic calcification occurs in necrotic area. A CT scan is the gold-standard imaging test for the non-invasive detection of myocardial calcifications [2]. In our case, cine-fluoroscopy combined with CT-Thorax
* Satyajit Singh [email protected] Mukesh Kumar Yadav [email protected] 1
AIIMS, Raipur, India
13
Vol.:(0123456789)
The International Journal of Cardiovascular Imaging
Fig 1 a 2D-echocardiographic image through 4-chamber subcostal window showing calcified cardiac hydatid cyst in relation to posterobasal LV. b Cinefluoroscopy image demonstrating extensive myocardial calcification mimicking honey-bee eyes. c Cinefluoroscopy
image showing extensive myocardial calcification mimicking a giant honey-bee. d Non-contrast CT-Thorax demonstrating extensive myocardial calcification
demonstrated extensive myocardial calcifications involving left ventricle myocardium in presence of a cardiac hydatid cyst. Echocardiography had failed to demonstrate extensive calcifications. These myocardial calcifications can lead to disturbance of the cardiac conduction system causing intraventricular conduction defects and sudden death. In our case, there was left anterior hemiblock in electrocardiogram as a consequence of extensive myocardial calcifications.
References
13
1. Gore I, Arons W (1949) Calcification of the myocardium: a pathologic study of 13 cases. Arch Pathol (Chic) 48:1–12 2. Torfs M, Salgado R, Van Herck P, Corthouts B, Robert D, Parizel PM (2016) A curious case of acute myocardial calcifications. Circulation 133:e426–e427 Publisher’s Note Springer Nature remains neutral with regar
Data Loading...
