Case Report

Hydatid disease of the interventricular septum: Echocardiographic and computed tomography findings

Brett Wegner, Ruchika Meel, Tamarin Nell, Lamla Nqwata, Michelle Wong
South African Journal of Radiology | Vol 24, No 1 | a1986 | DOI: https://doi.org/10.4102/sajr.v24i1.1986 | © 2020 Brett Wegner, Ruchika Meel, Tamarin Nell, Lamla Nqwata, Michelle Wong | This work is licensed under CC Attribution 4.0
Submitted: 08 September 2020 | Published: 15 December 2020

About the author(s)

Brett Wegner, Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Ruchika Meel, Division of Cardiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Division of Cardiology, Faculty of Health Sciences, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
Tamarin Nell, Department of Diagnostic Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Department of Diagnostic Radiology, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa
Lamla Nqwata, Division of Pulmonology, Department of Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; and Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Michelle Wong, Division of Pulmonology, Department of Medicine, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa; and Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Hydatid disease (HD) is prevalent in South Africa, with cardiac HD being a rare but important manifestation to recognise and diagnose. An incidental finding on computed tomography (CT) of the chest in a patient with pulmonary HD prompted further multimodality imaging, which confirmed the presence of cardiac HD involving the interventricular septum. This case report focuses on imaging findings related to cardiac HD, as demonstrated by the CT of the chest and two- and three-dimensional transoesophageal echocardiography. Multimodality imaging is essential to assist in making a diagnosis and providing a detailed assessment of patients with cardiac HD.

Keywords

cardiac hydatid disease; interventricular septum; transoesophageal echocardiography; computer tomography; sub-Saharan Africa.

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