PMC10186039_01
(a) Computed tomography of abdominal showing multiple hydatid cysts in the liver. (b) Computed tomography of chest showing hydatid cyst located in the interventricular septum. (c) Echocardiographic showing a large cystic mass splitting the interventricular septum
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F1
CT of the abdomen, multiple hydatid cysts of the liver were reported [Figure 1a], as a result of which the patient was considered as a candidate for surgery. Cardiac counseling was requested for the patient before surgery. On two-dimensional echocardiography, a 3.8 cm x 3.9 cm cystic lesion was observed in the upper part of the interventricular septum in the heart [Figure 1c], which definitely confirmed the cardiac hydatid cyst. Subsequent evaluations with a CT scan of the chest reported a 3-cm intraventricular cardiac hydatid cyst [Figure 1b].
Angiography showing stenosis of LAD, PDA
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F2
Significant stenosis of the left anterior descending artery (LAD), the right coronary artery (RCA), and the posterior descending artery (PDA) was reported on angiography [Figure 2].
The cyst excision surgery
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F3
It should be noted that 20% normal saline was injected into the cyst and the surrounding cyst and surrounding area were limited to 20% normal saline-impregnated gas [Figure 3].