IMAGES IN CARDIO-THORACIC SURGERY

European Journal of Cardio-Thoracic Surgery 49 (2016) 1290 doi:10.1093/ejcts/ezv187 Advance Access publication 16 May 2015

Cite this article as: Khan JK, Khan S, Fatimi S. An unexpected case of a hydatid cyst on the mitral valve mimicking infective endocarditis. Eur J Cardiothorac Surg 2016;49:1290.

An unexpected case of a hydatid cyst on the mitral valve mimicking infective endocarditis Jamal Kabeer Khan*, Sheema Khan and Saulat Fatimi Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan * Corresponding author. Department of Surgery, Division of Cardiothoracic Surgery, Aga Khan University Hospital, PO Box 3500, Stadium Road, Karachi 74800, Pakistan. Tel: +92-21-34864708; fax: +92-21-34932095; e-mail: [email protected] ( J.K. Khan). Received 3 October 2014; received in revised form 5 April 2015; accepted 13 April 2015

Keywords: Hydatid cyst • Mitral regurgitation A 57-year old lady presented with dyspnoea and fever. Echocardiography (Fig. 1) showed severe mitral regurgitation and vegetation attached to the posterior leaflet of mitral valve.

Upon opening the left atrium, a hydatid cyst was found attached to the posterior leaflet of the mitral valve and interventricular septum (Fig. 2).

Figure 1: (A) Apical three-chamber echocardiographic view showing cystic structure, encircled in the image. (B) Apical four-chamber echocardiographic view showing vegetation measuring 3 × 2 cm attached to the posterior leaflet of the mitral valve.

Figure 2: (A) Hydatid cyst attached to the posterior leaflet of mitral valve after a superior septal approach. (B) Multiple daughter cysts after they had been taken out of the left atrium.

© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

An unexpected case of a hydatid cyst on the mitral valve mimicking infective endocarditis.

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