Abstract
, 19% of which were eosinophils. Serologictest for echinococcus granulosus was not positive.Transthoracic echocardiography revealed, inaddition to a large pericardial effusion associated withechocardiographic signs of cardiac tamponade, a3×5 cm echo-free image suggesting a cystic massadjacent to the antero-lateral and apical segment of theleft ventricle (Fig. 1). The cyst was multilocular. Becausethe patient was hemodinamically unstable, an urgentpericardiocentesis was performed by needle aspirationtechnique under echocardiographic guidance andapproximately 1500 ml serous fluid was aspirated.Immediately after pericardiocentesis the patientshowed striking clinical improvement. Controlechocardiography demonstrated minimal pericardialeffusion with persistence of the cystic image. Cardiaccyst was also confirmed by both thoracic computed
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