PMC6385834_01
Echocardiographic view of the hydatid cyst. LV=left ventricle; RV=right
ventricle
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Chest X-ray and thoracic computed tomography (CT) exposed only few scattered calcifications within pulmonary parenchyma (Figure 1).
Localization of the intracoronary hydatid cyst.
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Cineangiography of the patient with ST segment depression in exercise test revealed that the left diagonal artery (LAD) and 1st diagonal arteries were proximally occluded (Figure 2).
A: Perioperative view of the intracoronary hydatid cyst prior to
enucleation (Size: 2x2 cm). B: Perioperative view of the intracoronary
hydatid cyst, distally liberated but proximal attachment is intact. C:
Perioperative view of the intracoronary hydatid cyst with proximal
attachment (inferiorly located) intact. D: Enucleated intracoronary
hydatid cyst, proximal attachment placed superiorly (size: 2x2 cm).
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In transthoracic echocardiography, a cystic mass of 2x2 cm with well-defined borders was detected on the left ventricular anterior wall (Figure 3). The mass, with size of 2x2 cm and regular borders, was found to be located between the left main and LAD coronary arteries (Figure 3). Since calcified, the cyst was isolated en bloc with the coronary artery segments it had infiltrated (Figure 3).